Individual provider · Type 1 NPI

Sandra Boucicaut, NP

Adult Health Nurse Practitioner · East Patchogue, NY

NPI number 1760112213 Active

Practice location

285 Sills Rd Bldg 5-6
East Patchogue, NY 11772-4869

Fax (929) 455-9868

Mailing address

14 Wall St Fl 9
New York, NY 10005-2178

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X310360 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1760112213

Sandra Boucicaut, NP's National Provider Identifier is 1760112213, issued on Jun 15, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Patchogue, NY. The record was last updated on Feb 15, 2024.