Sandra Boucicaut, NP

NPI 1760112213 · on the registry since 2022

Practice

Address: 285 Sills Rd Bldg 5-6
East Patchogue, NY 11772
Phone: (631) 228-5802
Fax: (929) 455-9868
Organisation at this address: Mark S. Vogel
R&T Medical Pc
Sunrise Rx Inc.
Mona Vani Md Pc
Lawrence Cassano
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 90

Registry record

Primary taxonomy: 363LA2200X
363LA2200X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-02-15

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