Individual
DR. NICOLE M. BOUVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, MOUNT SINAI MEDICAL CENTER BOX 1124, NEW YORK, NY 10029-6500
(212) 241-6500
Mailing address
53 W 72ND ST, APT. 4D, NEW YORK, NY 10023-3459
(917) 441-6648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
240524
NY
207RI0200X
Infectious Disease Physician
Primary
240524
NY
Other
Enumeration date
06/08/2007
Last updated
09/27/2011
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