Individual
CARLINE BOUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1281 STERLING PL, BROOKLYN, NY 11213-2869
(718) 363-9260
(718) 363-2915
Mailing address
1281 STERLING PL, BROOKLYN, NY 11213-2869
(718) 363-9260
(718) 363-2915
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008145
NY
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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