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Search › New York › Medical Physician Assistant

Jessica Bouchard, RPA-C

NPI 1023247608 · on the registry since 2009

Practice

Address
4110 Medical Center Dr
Fayetteville, NY 13066
Phone
(315) 663-0100
Fax
(315) 663-0052
Organisation at this address
Dr. Fazeli & Dr. Broumand Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York