National Provider Identifier
George Boucher, MD
George Boucher, MD is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician in Buffalo, NY and a listed phone number of (716) 898-5498.
Profile Overview
- NPI
- 1992776496
- Provider Type
- Individual
- Primary Specialty
- Physical Medicine & Rehabilitation Physician
- Enumeration Date
- February 01, 2006
- Last Updated
- November 30, 2017
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-5498
Mailing Address
- 908 Niagara Falls Blvd Ste 208
- North Tonawanda, NY 14120-2019
Specialties
- Physical Medicine & Rehabilitation Physician (208100000X)
Full Record
- NPI
- 1992776496
- Entity Type
- Individual
- Last Name
- Boucher
- First Name
- George
- Credential
- MD
- Mailing Street Address
- 908 Niagara Falls Blvd Ste 208
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 692-4342
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-5498
- Enumeration Date
- February 01, 2006
- Last Updated
- November 30, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Medicine & Rehabilitation Physician (208100000X)