Search › New York › 171M00000X
Mia Boissevain
NPI 1740026368 · on the registry since 2024 · sole proprietor
Practice
- Address
- 650 State St
Watertown, NY 13601 - Phone
- (518) 651-2302
- Fax
- (315) 291-6601
- Clinicians at this address
- 100
Additional practice sites
- 21502 Redwood Ln Apt C, Watertown, NY
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 106S00000X
- Sex
- Female
- Record last updated
- 2024-08-28
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