Individual
BERNICE BOUZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 E MAIN ST, PATCHOGUE, NY 11772-3145
(631) 866-2030
Mailing address
14 SHELLEY CIR, EAST WINDSOR, NJ 08520-4684
(407) 284-9694
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421362
NY
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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