STEPHANE DANIEL BOUSKILA

NEW YORK, NY
NPI1699085043
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  23014325)
Enumeration Date2010-10-19
Last Update Date2014-06-17
Business Address
-- STEPHANE DANIEL BOUSKILA PA
515 MADISON AVENUE SUITE #1102
NEW YORK, NY 10022
Phone number: 212-729-9200
Mailing Address
-- STEPHANE DANIEL BOUSKILA PA
91 NEW DORP LANE
STATEN ISLAND, NY 10306
Phone number: 718-351-1115
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