Henda Bouali
Rheumatology
4417 Vestal Parkway East Suite 202
Vestal
, New York 13850-3556
Henda Bouali
Rheumatology
4417 Vestal Parkway East Suite 202
Vestal
, New York 13850-3556
(607) 729-3982
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Henda Bouali
- 346 Grand Ave
- Johnson City, NY
- Zip : 13790-2580
- Fax : (607) 729-3982
- Phone : (607) 729-8156
Second Address
- Henda Bouali
- 4417 Vestal Parkway East Suite 202
- Vestal, NY
- Zip : 13850-3556
- Fax : (607) 729-5882
- Phone : (607) 770-7365
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 246796 | NY |
National Provider Identifier
| NPI | 1053495465 |
|---|---|
| Provider Name | Henda Bouali |
| First Address | Johnson City, NY 13790-2580 |
| Second Address | Vestal, NY 13850-3556 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 19/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02940054 | (05) | NY |
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.