Individual
MR. ISMAIL BOUHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
3959 BROADWAY, CHN-274, PEDIATRIC AND CONGENITAL CARDIAC SURGERY, NEW YORK, NY 10032
(646) 300-2921
Mailing address
412 W 110TH, APARTMENT 101, NEW YORK, NY 10025
(646) 300-2921
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
303918-01
NY
Other
Enumeration date
10/15/2020
Last updated
12/15/2020
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