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

DR. JEAN-ROBERT BOURSIQUOT, M.D.

Active Sole Proprietor

DR. JEAN-ROBERT BOURSIQUOT, M.D. is a Pediatrics healthcare provider located in QUEENS VILLAGE, New York. NPI 1902987134 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · QUEENS VILLAGE, NY

Registration Details

NPI Number
1902987134
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2006 (19.783451681195 yrs)
Last Updated
Apr 3, 2012
License
156767 (NY)
Sole Proprietor
Yes

Practice Information

Address
97-03 SPRINGFIELD BLVD.
QUEENS VILLAGE, NY, 11429
Browse NY providers · Browse ZIP 11429
Phone
7184657200
Fax
7184650407
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in QUEENS VILLAGE, NY

Name Credential NPI
MARIE JACQUELINE MOISES MD 1023070513
DR. KAMESWARI AMARAVADI M.D., M.P.H. 1215038435
DR. CAROLINA CELIS BAUN M.D. 1326134743
DR. HASAN HARIS AHMAD MD 1104017136
DR. LETHA SERA DANIEL MD 1437300571
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.