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

Iman Boucetta, MSED

Individual provider Specialist · NPI 1073854683

Iman Boucetta, MSED is a Specialist in Valley Stream, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

70 Gibson Blvd Apt 2B
Valley Stream, NY 11581-2005
Phone: (516) 561-3914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 701717131 (NY)

Record details

NPI number1073854683
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorNo
NPI enumeratedMarch 6, 2013
Last updated in NPPESMarch 6, 2013
Mailing address70 Gibson Blvd Apt 2b, Valley Stream, NY 11581-2005

Other providers in Valley Stream