Organization · Type 2 NPI
Mustapha Bourara MD PC
Clinic/Center · Astoria, NY
NPI number
1114161932
Active
Practice location
3047 38th St
Astoria, NY 11103-3831
Fax (718) 777-7055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1114161932
Mustapha Bourara MD PC's National Provider Identifier is 1114161932, issued on Apr 23, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Astoria, NY. The record was last updated on Feb 7, 2025.