MRS. DESIREE M BOUCHER NPI 1194082198

NPI Information

MRS. Desiree M Boucher is a specialist in Holtsville, NY. The provider is 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. MRS. Desiree M Boucher NPI is 1194082198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105 STORM DR
HOLTSVILLE, NY
ZIP 11742-912
Phone: (631) 831-6040

The enumeration date for this NPI number is 4/13/2012 and was last updated on 4/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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