Bushunow, Peter W

Bushunow, Peter W is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Bushunow, Peter W can be contacted via phone (585) 922-4200.

Contact Information

Primary practice address
1425 Portland Ave Rochester NY 14621-3001
Fax: (585) 922-4622
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 170930 New York

Profile Details

NPI number 1619915402
LBN Legal business name Bushunow, Peter W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619915402 NPPES
New York MEDICAID 01313331

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