RICHARD BOURBEAU (NPI# 1396306825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396306825 |
| Entity Type | Individual |
| Full Name | RICHARD BOURBEAU |
| Practice Address |
13325 87th St Apt 1b Ozone Park NY 11417-1950 |
| Practice Telephone | 3474858474 |
| Mailing Telephone | 3474858474 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
13325 87TH ST APT 1B |
| City | OZONE PARK |
| State | NY |
| Zip Code | 11417-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757723 | Raymond Videsh Seelochan | Physician Assistant | 105-14 91st Street, Ozone Park, NY 11417 | 2020-07-21 |
| 1942778907 | All Medical Equipments Inc | Durable Medical Equipment & Medical Supplies | 10621 97th St Unit Bc, Ozone Park, NY 11417 | 2018-11-08 |
| 1871085696 | Jellybean Ei Inc. | Case Management | 13524 96th St, Ozone Park, NY 11417 | 2018-06-06 |
| 1093238180 | Goydan Pharmacy Inc | Pharmacy | 150-29 Cross Bay Blvd, Store 1, Ozone Park, NY 11417 | 2017-07-20 |
| 1326585183 | Quest Pharmacy Corp | Pharmacy | 150-29 Cross Bay Blvd Store 1, Ozone Park, NY 11417 | 2017-01-31 |
| 1609319441 | Alexandra Musacchio | Speech-Language Pathologist | 104-50 102nd St, 2e, Ozone Park, NY 11417 | 2016-11-28 |
| 1083166805 | Danielle Natman | Social Worker | 108-19 Rockaway Boulevard, Ozone Park, NY 11417 | 2016-10-27 |
| 1487018388 | Antonia Diaz | Registered Nurse | 107-46 90th Street, 2nd Floor, Ozone Park, NY 11417 | 2016-04-07 |
| 1871967901 | Ngozi Ezinne Inwelegbu | Licensed Practical Nurse | 133-25 87th Street, 2b, Ozone Park, NY 11417 | 2015-12-01 |
| 1073982815 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 92-10 Atlantic Ave, Ozone Park, NY 11417 | 2015-09-23 |
| Find all providers in zip 11417 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638230 | Jessica Scala | Specialist | 9414 80th St, Ozone Park, NY 11416-1112 | 2020-01-14 |
| 1083261523 | Johann Mendez | Specialist | 9452 Magnolia Ct # 1b, Ozone Park, NY 11417-2958 | 2019-08-20 |
| 1205373289 | Lionel Callender | Specialist | 9403 106th St, Ozone Park, NY 11416-1822 | 2017-01-27 |
| 1922544519 | Jennifer Graciano | Specialist | 8620 95th Ave, Apt 2, Ozone Park, NY 11416-1313 | 2017-01-06 |
| 1861800906 | Sabrina Dalmau | Specialist | 9742 107th St, Ozone Park, NY 11416-2719 | 2014-07-31 |
| 1740600089 | Naquan Thomas | Specialist | 9511 102nd St, Ozone Park, NY 11416-1713 | 2014-04-25 |
| 1790101137 | Cherry Ann Montehermoso Chishti | Specialist | 10659 95th St, Ozone Park, NY 11417-1541 | 2014-03-10 |
| 1912335712 | Paola Murgas | Specialist | 10726 80th St, Ozone Park, NY 11417-1109 | 2013-10-15 |
| 1336480698 | Elizabeth Urena | Specialist | 7610 97th Ave, Ozone Park, NY 11416-1102 | 2013-03-12 |
| 1841540135 | Joselin Mercedes Urena | Specialist | 9516 76th St, Ozone Park, NY 11416-1012 | 2012-09-13 |
| Find all providers in OZONE PARK | ||||
| City | OZONE PARK |
| Zip Code | 11417 |
Please comment or provide details below to improve the information on RICHARD BOURBEAU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.