Individual
MS. PATRICIA ANN BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A.
Contact information
Practice address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 437-5717
(518) 437-5554
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 437-5717
(518) 437-5554
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004384-1
NY
Other
Enumeration date
02/20/2007
Last updated
10/29/2009
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