| Jean Marc R Boucicault, | |
|
21211 102nd Ave, Apt C4, Queens Village, NY 11429-1106 | |
| (718) 468-8298 | |
| Not Available |
| Full Name | Jean Marc R Boucicault |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 21211 102nd Ave, Queens Village, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396053500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 301439 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Marc R Boucicault, 21211 102nd Ave, Apt C4, Queens Village, NY 11429-1106 Ph: (718) 468-8298 | Jean Marc R Boucicault, 21211 102nd Ave, Apt C4, Queens Village, NY 11429-1106 Ph: (718) 468-8298 |
Miss Rosina Makombese, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11212 208th St, Queens Village, NY 11429 Phone: 718-465-3786 | |
Wagner Guervil, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 22121 Jamaica Ave, 2 Floor, Queens Village, NY 11428 Phone: 718-468-6923 Fax: 718-468-6925 | |
Maryse Voltaire, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 22121 Jamaica Ave, Queens Village, NY 11428 Phone: 718-468-6923 | |
Justin Kazim, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9402 Vanderveer St, Queens Village, NY 11428 Phone: 718-659-6225 | |
Miss Denise Belizaire, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 22434 Edmore Ave, Queens Village, NY 11428 Phone: 718-496-8155 | |
Patrina Wood, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11328 209th St, Queens Village, NY 11429 Phone: 347-272-6746 | |
Elimene Joseph, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 22121 Jamaica Ave, 2 Floor, Queens Village, NY 11428 Phone: 718-468-6923 Fax: 718-468-6925 |