Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY J BOUCHARD, PA-C
ActiveGARY J BOUCHARD, PA-C is a Medical Physician Assistant healthcare provider located in GREENLAWN, New York. NPI 1457505083 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GREENLAWN, NY
Registration Details
- NPI Number
- 1457505083
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2008 (17.748777218231 yrs)
- Last Updated
- Jun 12, 2019
- Licenses
-
MP 00002600 (NJ)003223 (NY)
Practice Information
- Address
-
190 BROADWAYGREENLAWN, NY, 117402120Browse NY providers · Browse ZIP 11740
- Phone
- 7326684192
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in GREENLAWN, NY
| Name | Credential | NPI |
|---|---|---|
| MISS MARIA MCROBB | RPAC | 1811043946 |
| MARIA ELENA CIPRIANO | — | 1538988860 |
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.