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

Individual provider Family Medicine Physician · NPI 1275801219

Dr. Johane Gildade Boursiquot, MD is a Family Medicine Physician in Bronx, New York. Works from 5 locations. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2011
Specialties on file
2
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

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2015 Grand Concourse, Bronx, NY 10453-4303 — (718) 299-7295
  • 515 Madison Ave Ste 9083, New York, NY 10022-5403 — (718) 954-7338
  • 150 Riverside Dr, New York, NY 10024-2298 — (646) 505-3500
  • 7924 Jamaica Ave, Woodhaven, NY 11421-1801 — (718) 805-0037

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 277201 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT205076 (PA)

Record details

NPI number1275801219
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2011
Last updated in NPPESMarch 19, 2021
Certification dateJanuary 1, 2021

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