SearchNew York343800000X

Jason Bouchard

NPI 1225865256 · on the registry since 2024 · sole proprietor

Practice

Address
19 W 5th St
Oswego, NY 13126
Phone
(315) 529-6206

Registry record

Primary taxonomy
343800000X
343800000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-17

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