National Provider Identifier

Stephanie Lynn Busch, RPA-C

Stephanie Lynn Busch, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Elmira, NY and a listed phone number of (607) 734-8179.

NPI 1093811291Elmira, NYPhysician Assistant

Profile Overview

NPI
1093811291
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 15, 2006
Last Updated
June 09, 2016

Practice Location

  • 859 Broadway St
  • Elmira, NY 14904-2501

Phone: (607) 734-8179

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1093811291
Entity Type
Individual
Last Name
Busch
First Name
Stephanie
Middle Name
Lynn
Name Prefix
Mrs.
Credential
RPA-C
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Practice Street Address
859 Broadway St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14904-2501
Practice Country
US
Practice Phone
(607) 734-8179
Practice Fax
(607) 733-3893
Enumeration Date
September 15, 2006
Last Updated
June 09, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)
Other Identifiers
03196527 (NY)