Search › New York › 163WC0200X
Jenica Boodhram
NPI 1053098814 · on the registry since 2023
Practice
- Address
- 10452 107th St
Ozone Park, NY 11417 - Phone
- (917) 776-2148
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-03
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