Individual
CAROLINE BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GARDEN CITY PLZ STE 100, GARDEN CITY, NY 11530-3337
(407) 757-5505
Mailing address
200 GARDEN CITY PLZ STE 100, GARDEN CITY, NY 11530-3337
(407) 757-5505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
714565
NY
163W00000X
Registered Nurse
9427482
FL
363LF0000X
Family Nurse Practitioner
Primary
F353842-01
NY
Other
Enumeration date
02/28/2017
Last updated
02/22/2026
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