DR. Roosevelt Boursiquot, M.D., M.PHIL

NPI #1013399872 in Brooklyn, New York

Provider Information

NPI Number: 1013399872
Entity Type: Individual
Name: DR. Roosevelt Boursiquot, M.D., M.PHIL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D., M.PHIL
Enumeration Date: Jun 29, 2015
Last Updated: Feb 10, 2022

Practice Location

Address: 470 CLARKSON AVE
Address 2: MSC#59
City: Brooklyn
State: New York
ZIP Code: 11203
Phone: (718) 270-7207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

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