Boris, Carl

Boris, Carl is an individual health care provider with primary practice located at 99 Grand Ave , Massapequa NY 11758-1203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boris, Carl can be contacted via phone (516) 541-9700.

Contact Information

Primary practice address
99 Grand Ave Massapequa NY 11758-1203
Phone: (516) 541-9700
Fax: (516) 798-1086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 089458 New York

Profile Details

NPI number 1194883793
LBN Legal business name Boris, Carl
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated May 19th, 2008 - about 16 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 1194883793 NPPES
Other 201285536 EMPIRE
Other 5491B1 EMPIRE
Other 5C4402 EMPIRE
Other AP624 EMPIRE
Other 4115108 EMPIRE
Other 089458 EMPIRE
Other 5061 EMPIRE
Other 5996232 EMPIRE
Other P00230863 EMPIRE
Other 201285536 EMPIRE
Other 785722 EMPIRE
MEDICAID 00404884 EMPIRE
Other 201285536 EMPIRE

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