Boris, Jacob
Boris, Jacob is an sole proprietor health care provider with primary practice located at 422 Western Hwy , Tappan NY 10983-1311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boris, Jacob can be contacted via phone (845) 359-0010.Contact Information
Primary practice address
422 Western Hwy
Tappan NY 10983-1311
Phone: (845) 359-0010
Fax: (845) 359-3414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 088020 | New York |
Profile Details
| NPI number | 1942417415 |
|---|---|
| LBN Legal business name | Boris, Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942417415 | NPPES |
| New York | MEDICAID | 00530781 |
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