Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Debra Lynn Bush

Individual provider Specialist · NPI 1053069922

Debra Lynn Bush is a Specialist in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

171 Intrepid Ln
Syracuse, NY 13205-2548
Phone: (315) 437-4689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1053069922
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address434 Birchwood Blvd, Baldwinsville, NY 13027-3302

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