Harriet Busch, M.D.

Individual provider Active NPI Family Medicine Physician · Chestertown, NY

NPI 1790799435 · NPPES record last updated Aug 4, 2008

Key facts

NPI
1790799435
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
136423 (NY)
Practice address
6223 State Rte 9
Chestertown, NY 12817
Phone
(518) 494-2761
Fax
(518) 494-3541
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
136423NYMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 136423 NY Yes

Addresses

Primary practice location

6223 State Rte 9
Chestertown, NY 12817

Mailing address

1 Broad Street PLZ
PO Boc 357
Glens Falls, NY 12801-4390
Phone (518) 761-0300

Other providers in Chestertown, NY

All providers in Chestertown, NY · Family Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.