MRS. DESIREE M BOUCHER
NPI 1194082198
Specialist in Holtsville, NY

Q: What is Desiree Boucher's NPI number?

The NPI number for Desiree Boucher is 1194082198. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Q: What is Desiree Boucher's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Boucher was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2012

105 STORM DR, HOLTSVILLE, NY 11742(631) 831-6040 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Desiree M Boucher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DESIREE M BOUCHER (NPI 1194082198) is an individual specialist in Holtsville, New York and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1194082198

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. DESIREE M BOUCHER

Location Address105 STORM DRHoltsville, NY 11742-1912

Mailing Address105 Storm DrHoltsville, NY 11742-1912 · (631) 831-6040

Phone(631) 831-6040

Sole ProprietorNo

Enumeration DateApril 13, 2012

✔ NPI 1194082198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

105 STORM DR, Holtsville, NY 11742

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desiree Boucher's NPI number?

The NPI number for Desiree Boucher is 1194082198. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Desiree Boucher located?

Desiree Boucher practices at 105 Storm Dr, Holtsville, NY 11742. The listed phone number is (631) 831-6040.

What is Desiree Boucher's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Desiree Boucher was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.