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

Mrs. Desiree M Boucher

Individual provider Specialist · NPI 1194082198

Mrs. Desiree M Boucher is a Specialist in Holtsville, New York. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

105 Storm Dr
Holtsville, NY 11742-1912
Phone: (631) 831-6040
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1194082198
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2012
Last updated in NPPESApril 13, 2012

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