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MR. CHRISTIAN BUSTAMANTE
NPI 1154841443
Specialist in Melville, NY

Active since June 27, 2017
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747(631) 385-7780(631) 385-7795 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 27, 2017 (2 updates tracked since 2017).

About Mr. Christian Bustamante NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHRISTIAN BUSTAMANTE (NPI 1154841443) is an individual specialist in Melville, New York, licensed in New York (862344141) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1154841443
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. CHRISTIAN BUSTAMANTE
Location Address538 BROADHOLLOW RD STE 202Melville, NY 11747-3668
Mailing Address538 Broadhollow Road, Suite 202Melville, NY 11747 · (631) 385-7780 · Fax (631) 385-7795
Phone(631) 385-7780
Fax(631) 385-7795
Sole ProprietorYes
Enumeration DateJune 27, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1154841443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 862344141
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
538 BROADHOLLOW RD STE 202, Melville, NY 11747
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARRET HARRISON
Behavior Technician
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MRS. LISA M MASCI MSED
Specialist
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
LYNETTE BLADES
Specialist
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
NATALIE L LINDO
Specialist
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
EMMA CASTRO
Case Manager/Care Coordinator
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
JENETTA BUTLER
Behavior Technician
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 358-7780
MEAGAN LYONS
Specialist
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MRS. JACQUELINE DIANE MATIAS
Specialist
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian Bustamante's NPI number?

The NPI number for Christian Bustamante is 1154841443. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Christian Bustamante located?

Christian Bustamante practices at 538 Broadhollow Rd Ste 202, Melville, NY 11747. The listed phone number is (631) 385-7780.

What is Christian Bustamante's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Christian Bustamante was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.