Jacqueline Bush
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
506 6th St
Brooklyn
, New York 11215
Jacqueline Bush
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
506 6th St
Brooklyn
, New York 11215
(718) 780-3079
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Jacqueline Bush
- Po Box 5453
- New York, NY
- Zip : 10087-5453
- Fax : (718) 780-3079
- Phone : (718) 780-3272
Second Address
- Jacqueline Bush
- 506 6th St
- Brooklyn, NY
- Zip : 11215
- Fax : (718) 780-3079
- Phone : (718) 780-3272
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 191867 | NY |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 191867 | NY |
National Provider Identifier
| NPI | 1174596241 |
|---|---|
| Provider Name | Jacqueline Bush |
| First Address | New York, NY 10087-5453 |
| Second Address | Brooklyn, NY 11215 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2006 |
| Last Update Date | 07/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01721493 | (05) | NY |
| G58450 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.