Mrs. Isabella Rae Eccleston Busch
Mrs. Isabella Rae Eccleston Busch is a Student in an Organized Health Care Education/Training Program in Lake Ronkonkoma, New York. Works from 2 locations. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
51 School StLake Ronkonkoma, NY 11779-2298
Phone: (631) 471-1300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1560 Mayflower Ave, Bronx, NY 10461-5400 — (718) 948-1900
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 028942 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (NY) |
Record details
| NPI number | 1194201848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 16, 2018 |
| Last updated in NPPES | August 23, 2022 |
| Certification date | August 23, 2022 |
Other providers in Lake Ronkonkoma
-
Hayley Beth Gruber
65 Dorchester Rd, Lake Ronkonkoma, NY 11779-1616 · (631) 942-4576