Boorin, Martin R.

Boorin, Martin R. is an sole proprietor health care provider with primary practice located at 1087 Westminster Ave , Dix Hills NY 11746-6340. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Boorin, Martin R. can be contacted via phone (516) 776-0716.

Contact Information

Primary practice address
1087 Westminster Ave Dix Hills NY 11746-6340
Phone: (516) 776-0716
Fax: (631) 940-7227
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 039997 New York
Dental Providers / Dentist 122300000X 22DIO1606400 New Jersey
Dental Providers / Dentist 122300000X 7066 Connecticut
Dental Providers / Dentist Anesthesiologist 1223D0004X 039997 New York
Dental Providers / Dentist Anesthesiologist 1223D0004X 7006 Connecticut
Dental Providers / Dentist Anesthesiologist 1223D0004X 220101606400 New Jersey

Profile Details

NPI number 1043216435
LBN Legal business name Boorin, Martin R.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Jun 19th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043216435 NPPES
New York MEDICAID 01020286
New York Other P00023886

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