Mitra Bourbouri

NPI #1083255525 in Bellerose, New York

Provider Information

NPI Number: 1083255525
Entity Type: Individual
Name: Mitra Bourbouri
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Enumeration Date: Oct 7, 2019
Last Updated: Oct 7, 2019

Practice Location

Address: 8953 241ST ST # 1127
City: Bellerose
State: New York
ZIP Code: 11426-1127
Phone: (347) 697-5959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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