Provider Demographics
NPI:1073699146
Name:STRONACH-BUSCHEL, BETTINA S (DA, ATR-BC)
Entity Type:Individual
Prefix:DR
First Name:BETTINA
Middle Name:S
Last Name:STRONACH-BUSCHEL
Suffix:
Gender:F
Credentials:DA, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3036
Mailing Address - Country:US
Mailing Address - Phone:212-769-4562
Mailing Address - Fax:212-769-4562
Practice Address - Street 1:39 W 87TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3036
Practice Address - Country:US
Practice Address - Phone:212-769-4562
Practice Address - Fax:212-769-4562
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000077221700000X
NY002112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health