Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON DANIEL BOUCHARD
Active Sole ProprietorAir Carrier · OSWEGO, NY
Registration Details
- NPI Number
- 1225865256
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2024 (1.5980571812356 yrs)
- Last Updated
- Sep 17, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
19 W 5TH STOSWEGO, NY, 131261022Browse NY providers · Browse ZIP 13126
- Phone
- 3155296206
- Primary Specialty
-
Air Carrier
343800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.