Individual
CHRIS BOUKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
18 DANIEL RD S, MASSAPEQUA, NY 11758-2210
(516) 729-4819
Mailing address
18 DANIEL RD S, MASSAPEQUA, NY 11758-2210
(516) 729-4819
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
554490
NY
163WS0200X
School Registered Nurse
Primary
554490
NY
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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