Individual provider · Type 1 NPI

Richard Bourbeau

Specialist · Ozone Park, NY

NPI number 1396306825 Active

Practice location

13325 87th St Apt 1B
Ozone Park, NY 11417-1950

Call (347) 485-8474 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1396306825

Richard Bourbeau's National Provider Identifier is 1396306825, issued on Jun 25, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ozone Park, NY. The record was last updated on Jun 25, 2019.