Bouali, Henda

Bouali, Henda is an individual health care provider with primary practice located at 4417 Vestal Parkway East Suite 202, Vestal NY 13850-3556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Bouali, Henda can be contacted via phone (607) 770-7365.

Contact Information

Primary practice address
4417 Vestal Parkway East Suite 202 Vestal NY 13850-3556
Fax: (607) 729-5882
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 246796 New York

Profile Details

NPI number 1053495465
LBN Legal business name Bouali, Henda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Sep 19th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053495465 NPPES
New York MEDICAID 02940054

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