Boucicaut, Sandra

Boucicaut, Sandra is an individual health care provider with primary practice located at 285 Sills Rd Bldg 5-6 , East Patchogue NY 11772-4869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Boucicaut, Sandra can be contacted via phone (631) 228-5802.

Contact Information

Primary practice address
285 Sills Rd Bldg 5-6 East Patchogue NY 11772-4869
Phone: (631) 228-5802
Fax: (929) 455-9868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 310360 New York

Profile Details

NPI number 1760112213
LBN Legal business name Boucicaut, Sandra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2022
Last updated Feb 15th, 2024 - about 7 months 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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