Raquel Bouton

NPI #1093074312 in Mount Sinai, New York

Provider Information

NPI Number
1093074312
Entity Type
Organization
Organization Name
Raquel Bouton
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
May 7, 2012
Last Updated
May 7, 2012

Practice Location

Address
2 DOMINO WAY
ZIP Code
11766-2715
Phone
(631) 828-2882

Authorized Official

Name
RAQUEL MARIE BOUTON
Title
LPN
Phone
(631) 828-2882

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)

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Provider Name
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