Individual
DR. LEORA SARAH BOUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 627-9708
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 627-9708
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
321559
NY
207RX0202X
Medical Oncology Physician
Primary
321559
NY
Other
Enumeration date
05/26/2020
Last updated
07/14/2025
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