person
Mr. Peter R Bourque JR., APRN
Psychiatric/Mental Health Nurse Practitioner in Bohemia, New York
NPI 1972853299

Peter R Bourque JR. is a Psychiatric/Mental Health Nurse Practitioner based in Avon, NY and is specialized in Psychiatric/Mental Health. Peter R Bourque JR. practices in Bohemia, NY and has the professional credentials of APRN. The NPI Number for Peter R Bourque JR. is 1972853299 and holds a License No. 5047 (New York).

The current practice location address for Peter R Bourque JR. is 1650 Sycamore Ave Ste 39, Bohemia, NY and can be reached out via phone at 631-317-1024.

Location: 1650 Sycamore Ave Ste 39, Bohemia, NY, 06001
person
Provider Profile Details
NPI Number
1972853299
Provider Name
Peter R Bourque JR.
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1650 Sycamore Ave Ste 39, Bohemia, NY, 06001
Phone Number
631-317-1024
Fax Number
Provider Enumeration Date
09/13/2012
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1650 Sycamore Ave Ste 39
City
State
Zip
11716-1736
Phone Number
631-317-1024
Fax Number
person
Provider Business Mailing Address Details
Address
1650 Sycamore Ave Ste 39
City
State
Zip
11716-1736
Phone Number
631-317-1024
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
5047 (Connecticut)
Definition
Definition to come...
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