Individual
STEPHANIE ANNE BOUSQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4683
(585) 922-4922
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4683
(585) 922-4922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
323242
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2019
Last updated
09/12/2023
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