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

Patrick Boucher

Individual provider Registered Nurse · NPI 1609178201

Patrick Boucher is a Registered Nurse in Lic, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

28-11 Queens Plaza N 4th Fl
Lic, NY 11101
Phone: (718) 391-8116
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 595873 (NY)

Record details

NPI number1609178201
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 2, 2010
Last updated in NPPESDecember 2, 2010
Mailing address224-20 93 Road, Apt 2, Queens Village, NY 11428

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