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1386068310
MICHAEL D BOUCHER
BROOKLYN, NY
NPI
1386068310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 026903)
Enumeration Date
2014-02-11
Last Update Date
2024-08-21
Business Address
MICHAEL D BOUCHER P.A.
3808 14TH AVE
BROOKLYN, NY 11218-3610
Phone number: 718-972-2424
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Mailing Address
MICHAEL D BOUCHER P.A.
141 FRANKLIN AVE
BROOKLYN, NY 11205-2728
Phone number: 212-257-2424
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