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Mitra Bourbouri
NPI 1083255525 · on the registry since 2019 · sole proprietor
Practice
- Address
- 8953 241st St # 1127
Bellerose, NY 11426 - Phone
- (347) 697-5959
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-07
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