Search › New York › 1223G0001X
Carlos Bou Assi, DMD
NPI 1699874453 · on the registry since 2006
Practice
- Address
- 10590 Enduring Freedom Drive
Fort Drum, NY 13602 - Phone
- (315) 772-6234
- Fax
- (315) 774-3558
- Organisation at this address
- Guthrie Ahc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 69
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
122300000X - Licence states on file
- NH, MA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-09
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