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Elisha Bouret

NPI 1851105746 · on the registry since 2025 · sole proprietor

Practice

Address
579 Courtlandt Ave
Bronx, NY 10451
Phone
(718) 485-2100
Fax
(718) 485-2101
Clinicians at this address
420

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-03
Status
Not present in the most recent federal file

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