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Shane Bush

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NPI Number Detailed Information

Provider Information:

Name: Shane Bush
Gender: M
Provider License Number If Given: 12998

NPI Information:

NPI: 1003868514
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/16/2006

Last Update Date: 7/18/2007

Provider Business Mailing Address:

Address: 290 HAWKINS AVE SUITE B
Lake Ronkonkoma, NY 11779
Phone Number: 6313347884
Fax Number: 6319803715

Provider Business Practice Location Address:

Address: 290 HAWKINS AVE SUITE B
Lake Ronkonkoma, NY 11779
Phone Number: 6313347884
Fax Number: 6319803715

Provider Taxonomy:

Primary: 103G00000X
Secondary (if any): 103TC0700X
State: NY

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About Shane Bush

Shane Bush ( SHANE BUSH ) is A Clinical Neuropsychologist Physician in Lake Ronkonkoma, NY. The NPI Number for Shane Bush is 1003868514.
The current location address for Shane Bush is 290 HAWKINS AVE SUITE B Lake Ronkonkoma, NY 11779 and the contact number is 6313347884 and fax number is 6319803715. The mailing address for Shane Bush is 290 HAWKINS AVE SUITE B Lake Ronkonkoma, NY 11779- 6313347884 (mailing address contact number - 6313347884).
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Provider Business Location on Map

FAQs:

What is the NPI Number for Shane Bush ?


Answer: The NPI Number for Shane Bush is 1003868514

Where is Shane Bush located?


Answer: Shane Bush is located at 290 HAWKINS AVE SUITE B Lake Ronkonkoma, NY 11779.

What is the specialty for Shane Bush ?


Answer: The Specialty of Shane Bush is A Clinical Neuropsychologist Physician.

Are there any online reviews for Shane Bush ?


Answer: Not yet!

Are there any other health care providers in Lake Ronkonkoma, NY?


Answer: Yes, there are given below...

More Providers in Lake Ronkonkoma , NY

Dr. Richard Soden
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Jack Z Nussbaum
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Dr. David I Hauer
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Ronald R Bernardini
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NPI Number: 1639177918
Address: 201 PORTION RD Lake Ronkonkoma, NY 11779 , Phone: 6319811333
Dr. Michael James Mcgovern
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NPI Number: 1669470530
Address: 624 HAWKINS AVE SUITE #1 Lake Ronkonkoma, NY 11779 , Phone: 6315885100
Dr. Aaron Kramer
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NPI Number: 1104810746
Address: 516 HAWKINS AVE Lake Ronkonkoma, NY 11779 , Phone: 6315889041
Dr. Myles Savitt
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NPI Number: 1396723649
Address: 388 HAWKINS AVE Lake Ronkonkoma, NY 11779 , Phone: 6315850045
Shane Bush
Clinical Neuropsychologist
NPI Number: 1003868514
Address: 290 HAWKINS AVE SUITE B Lake Ronkonkoma, NY 11779 , Phone: 6313347884
Mohinder K Guram
Pediatrics Physician
NPI Number: 1871546812
Address: 640 HAWKINS AVE Lake Ronkonkoma, NY 11779 , Phone: 6317370100

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