Dr. Ghyslain Lessard-Boivin
Oral and Maxillofacial Surgeon
130 W Kingsbridge Rd
Bronx
, New York 10468-3904
Dr. Ghyslain Lessard-Boivin
Oral and Maxillofacial Surgeon
130 W Kingsbridge Rd
Bronx
, New York 10468-3904
(646) 915-5802
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Ghyslain Lessard-Boivin
- 3855 Orloff Ave Apt 7d
- Bronx, NY
- Zip : 10463-2644
- Phone : (646) 915-5802
Second Address
- Dr. Ghyslain Lessard-Boivin
- 130 W Kingsbridge Rd
- Bronx, NY
- Zip : 10468-3904
- Phone : (718) 584-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 50 P65355 | NY |
National Provider Identifier
| NPI | 1114180650 |
|---|---|
| Provider Name | Dr. Ghyslain Lessard-Boivin |
| First Address | Bronx, NY 10463-2644 |
| Second Address | Bronx, NY 10468-3904 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2008 |
| Last Update Date | 03/07/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.