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Mrs. Desiree M Boucher
Specialist in Holtsville, New York
NPI 1194082198

Desiree M Boucher is a Specialist based in Holtsville, NY. Desiree M Boucher practices in Holtsville, NY. The NPI Number for Desiree M Boucher is 1194082198 and holds a License No. (New York).

The current practice location address for Desiree M Boucher is 105 Storm Dr, Holtsville, NY and can be reached out via phone at 631-831-6040.

Location: 105 Storm Dr, Holtsville, NY, 11742-1912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194082198
Provider Name
Desiree M Boucher
Credential
Provider Entity Type
Individual
Gender
Female
Address
105 Storm Dr, Holtsville, NY, 11742-1912
Phone Number
631-831-6040
Fax Number
Provider Enumeration Date
04/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 Storm Dr
City
Holtsville
State
New York
Zip
11742-1912
Phone Number
631-831-6040
Fax Number
person
Provider Business Mailing Address Details
Address
105 Storm Dr
City
Holtsville
State
New York
Zip
11742-1912
Phone Number
631-831-6040
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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