Individual
BRIANNA BOUCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
150 ESSEX ST, NEW YORK, NY 10002-2301
(212) 477-1120
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342165-1
NY
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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