Individual
ASMAA BOUSSERHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5874
(718) 579-4836
Mailing address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 907-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
289790
NY
282NC2000X
Children's Hospital
—
—
Other
Enumeration date
08/06/2014
Last updated
10/15/2018
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