Boutehsaz, Lily

Boutehsaz, Lily is an individual health care provider with primary practice located at 4277 65Th Pl , Woodside NY 11377. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Boutehsaz, Lily can be contacted via phone (718) 429-2000.

Contact Information

Primary practice address
4277 65Th Pl Woodside NY 11377
Phone: (718) 429-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1293643 New York

Profile Details

NPI number 1225433923
LBN Legal business name Boutehsaz, Lily
Credentials MSED
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Oct 24th, 2014 - about 10 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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