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

Lily Boutehsaz, MSED

Individual provider Specialist · NPI 1225433923

Lily Boutehsaz, MSED is a Specialist in Woodside, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

4277 65th Pl
Woodside, NY 11377
Phone: (718) 429-2000
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1293643 (NY)

Record details

NPI number1225433923
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorNo
NPI enumeratedOctober 24, 2014
Last updated in NPPESOctober 24, 2014
Mailing address4277 65th Pl, Woodside, NY 11377

Other providers in Woodside