Dr. Jean-Robert Boursiquot, M.D.
Pediatrics in Queens Village, NY. Individual provider (NPI-1).
NPI number1902987134
StatusActive
Last updated in NPPESApr 3, 2012
Details
- NPI
- 1902987134
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jean-Robert Boursiquot
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2006
- Last updated
- Apr 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 156767 | NY | Yes |
Practice location
97-03 Springfield Blvd.Queens Village, NY 11429
Phone 718-465-7200 · Fax 718-465-0407
Mailing address
11 Talon WayDix Hills, NY 11746-6238
Phone 631-242-0379
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