Individual
GRETCHEN LEE BOESKOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6000
Mailing address
9323 71ST DR, FOREST HILLS, NY 11375-6708
(616) 690-2402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
328910
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
07/26/2024
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