Dr JESSICA BOUCHARD is a female medical professional, specializing in Physician Assistant. She graduated in 2009 from Albany Medical College Of Union University.
DERMATOLOGY ASSOCIATES OF CENTRAL NEW YORK PLLC
4110 MEDICAL CTR DR
FAYETTEVILLE
NY
130666613
Tel: 3156630100
| Npi | 1023247608 |
| Pac Id | 5698094423 |
| Professional Enrollment Id | I20150429001667 |
| Last Name | BOUCHARD |
| First Name | JESSICA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Secondary Specialty 2 | |
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| Organization Legal Name | DERMATOLOGY ASSOCIATES OF CENTRAL NEW YORK PLLC |
| Group Practice Pac Id | 0446358063 |
| Number Of Group Practice Members | 11 |
| Line 1 Street Address | 4110 MEDICAL CTR DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 130666613 |
| Phone Number | 3156630100 |
| Hospital Affiliation Ccn 1 | 330218 |
| Hospital Affiliation Lbn 1 | OSWEGO HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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