Individual
MICHAEL K BOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
269697
NY
Other
Enumeration date
06/17/2010
Last updated
01/06/2014
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