Espinoza, Boris

Espinoza, Boris is an individual health care provider with primary practice located at 27 Wicks Rd , Brentwood NY 11717-4213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Espinoza, Boris can be contacted via phone (631) 231-5070.

Contact Information

Primary practice address
27 Wicks Rd Brentwood NY 11717-4213
Phone: (631) 231-5070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 169762-1 New York

Profile Details

NPI number 1548330087
LBN Legal business name Espinoza, Boris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1548330087 NPPES
New York MEDICAID 01062555

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