Organization
ORSA MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE BOUCHARD MD (MEDICAL DIRECTOR AND PRESIDENT)
(646) 250-1963
Entity
Organization
Contact information
Practice address
361 BROADWAY, KINGSTON, NY 12401-5151
(646) 250-1963
Mailing address
98 UPPER WHITFIELD RD, ACCORD, NY 12404-5930
(646) 250-1963
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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