Medarov, Boris
Medarov, Boris is an individual health care provider with primary practice located at 47 New Scotland Ave # A-91 , Albany NY 12208-3412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Medarov, Boris can be contacted via phone (518) 262-5196.Contact Information
Primary practice address
47 New Scotland Ave # A-91
Albany NY 12208-3412
Phone: (518) 262-5196
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 042836 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 042836 | Connecticut |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A105076 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A105076 | California |
Profile Details
| NPI number | 1720055098 |
|---|---|
| LBN Legal business name | Medarov, Boris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2006 |
| Last updated | Nov 17th, 2015 - about 9 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 | 1720055098 | NPPES |
| California | Other | 1356390009 | GROUP NPI |
| California | Other | CE1617 | GROUP NPI |
| California | Other | GR0100430 | GROUP NPI |
| California | Other | 1902846306 | GROUP NPI |
| California | Other | GROO16910 | GROUP NPI |
| California | Other | W11675 | GROUP NPI |
| California | Other | W18762 | GROUP NPI |
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