Individual
CAMILLE BOSQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MMC - DEPT. OF RADIOLOGY, 111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-8853
Mailing address
1988 NEWBOLD AVE, APT. 4B, BRONX, NY 10472-5017
(718) 920-8853
(718) 324-1156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007700
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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