Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jean-Robert Boursiquot, MD

Individual provider Pediatrics Physician · NPI 1902987134

Dr. Jean-Robert Boursiquot, MD is a Pediatrics Physician in Queens Village, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

97-03 Springfield Blvd
Queens Village, NY 11429
Phone: (718) 465-7200
Fax: (718) 465-0407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 156767 (NY)

Record details

NPI number1902987134
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESApril 3, 2012
Mailing address11 Talon Way, Dix Hills, NY 11746-6238

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