Gary J Bouchard, PA-C | |
190 Broadway, Greenlawn, NY 11740-2120 | |
(732) 668-4192 | |
Not Available |
Full Name | Gary J Bouchard |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 37 Years |
Location | 190 Broadway, Greenlawn, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457505083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | MP 00002600 (New Jersey) | Secondary |
363AM0700X | Physician Assistant - Medical | 003223 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Hospital | Port jefferson, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Samaritan Medical Services Pc | 7012016009 | 282 |
Mailing Address | Practice Location Address |
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Gary J Bouchard, PA-C 190 Broadway, Greenlawn, NY 11740-2120 Ph: (732) 668-4192 | Gary J Bouchard, PA-C 190 Broadway, Greenlawn, NY 11740-2120 Ph: (732) 668-4192 |
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