Gertha Boucicault is a family nurse practitioner in Queens Village, NY with 5 years of experience. Gertha Boucicault NPI is 1619285814. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
21211 102ND AVE
APT. C4
QUEENS VILLAGE, NY
ZIP 11429-106
Phone: (718) 468-8298
The NPI 1619285814 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/22/2010 and was last updated on 6/30/2023.