Elisha Bouret
Elisha Bouret is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
579 Courtlandt AveBronx, NY 10451-5013
Phone: (718) 485-2100
Fax: (718) 485-2101
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (NY) |
|---|
Record details
| NPI number | 1851105746 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 3, 2025 |
| Last updated in NPPES | February 3, 2025 |
| Certification date | February 3, 2025 |
| Mailing address | 135b W 168th St Apt 5b, Bronx, NY 10452-3472 |
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