Adam Ryan Bouchendouka
Student in an Organized Health Care Education/Training Program in New York, NY. Individual provider (NPI-1).
NPI number1619709144
StatusActive
Last updated in NPPESAug 14, 2024
Details
- NPI
- 1619709144
- Entity type
- Individual (NPI-1)
- Name
- Adam Ryan Bouchendouka
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2024
- Certification date
- Aug 14, 2024
- Last updated
- Aug 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
622 W 168th StNew York, NY 10032-3720
Phone 212-305-6100
Mailing address
622 W 168th StNew York, NY 10032-3720
Phone 212-305-6100
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