Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD BOURBEAU

Active Sole Proprietor

Specialist · OZONE PARK, NY

Registration Details

NPI Number: 1396306825
Provider Type: Individual
Gender: Male
NPI Issued: Jun 25, 2019 (6.8427379874392 yrs)
Last Updated: Jun 25, 2019
Sole Proprietor: Yes

Practice Information

Address: 13325 87TH ST APT 1B

OZONE PARK, NY, 114171950
Browse NY providers · Browse ZIP 11417
Phone: 3474858474
Primary Specialty: Specialist
174400000X

Other Specialist Providers in OZONE PARK, NY

Name	Credential	NPI
DR. MICHAEL LUZ AVARICIO	MD	1639275084
DR. RENE S MEDIAVILLO	M.D.	1376622019
LAURA SIRACUSA	SPECIAL EDUCATION	1871855692
YVONNE PATRICIA FURQAN	—	1972865160
JANICE PEREZ	—	1164784336
MRS. KAREN INES GARCIA	M.S.	1366797243

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.