Boutureira, Madison Antionette

Boutureira, Madison Antionette is an individual health care provider with primary practice located at 953 Danby Rd , Ithaca NY 14850-7000. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Boutureira, Madison Antionette can be contacted via phone (914) 874-6296.

Contact Information

Primary practice address
953 Danby Rd Ithaca NY 14850-7000
Phone: (914) 874-6296
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1154889590
LBN Legal business name Boutureira, Madison Antionette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Mar 5th, 2019 - about 6 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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