Search › New York › 207V00000X
Diane Shumbusho, MD
NPI 1457708802 · on the registry since 2016
Practice
- Address
- 1575 Washington St
Watertown, NY 13601 - Phone
- (315) 785-4155
- Fax
- (315) 779-5066
- Clinicians at this address
- 48
Additional practice sites
- 11050 Mount Belvedere Blvd, Fort Drum, NY
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
- Licence states on file
- VA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York