John E Bustamante | Brooklyn, NY • PECOS Search

John E Bustamante

Specialist

Other Service Providers

851 44th St Apt B1, Brooklyn, NY 11220-1644

PECOS Enrollment

Based on the most recent information from CMS, provider John E Bustamante does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1366228397
Provider Type
Individual
Full Name
Bustamante, John E
Gender
Male

Sole Proprietor
No
Enumeration Date
9/6/2023
Last Updated
9/6/2023

Contact Information

Practice Location

851 44th St Apt B1, Brooklyn, NY 11220-1644

Unlisted Fax

Mailing Location

851 44th St Apt B1, Brooklyn, NY 11220-1644

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer