Individual
OMAR BOISSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1276 FULTON AVE FL 4, BRONX, NY 10456-3402
(718) 316-0732
Mailing address
1276 FULTON AVE FL 4, BRONX, NY 10456-3402
(718) 316-0732
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NY
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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