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Cassandra Bouchard

NPI 1134768500 · on the registry since 2020 · sole proprietor

Practice

Address
451 E 83rd St Apt 6c
New York, NY 10028
Phone
(516) 305-3092

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-14

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