Jessica Bouchard

PHYSICIAN ASSISTANT

4110 Medical Ctr Dr

Suite 110

Fayetteville, NY 130666613

(315) 663-0100

**NPI:** 1023247608

**Med School:** ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY

**Experience:** 16 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

DR. FAZELI AND DR. BROUMAND LLC

4110 Medical Ctr Dr, Suite 110
Fayetteville, NY 130666613

Phone: (315) 663-0100

**Group ID:** 0446358063 | **Group Size:** 11 members

OSWEGO HOSPITAL Type: Hospital
110 WEST SIXTH STREET
Phone: (315) 349-5511
Medicare CCN: 330218 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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