IDAN BOUSSANI

BROOKLYN, NY
NPI1255073045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NY  341976)
Enumeration Date2022-04-12
Last Update Date2026-02-11
Business Address
IDAN BOUSSANI DO
450 CLARKSON AVE
BROOKLYN, NY 11203-2012
Phone number: 718-270-1984
Mailing Address
IDAN BOUSSANI DO
167 CROMWELL AVE APT 3C
STATEN ISLAND, NY 10304-3950
Phone number: 718-702-0542
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