Individual
CHRISTYA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
1312-38 STREET, BROOKLYN, NY 11218
(718) 686-3700
Mailing address
1312-38 STREET, BROOKLYN, NY 11218
(718) 686-3700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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