| Boris Mayzler Do Llc | |
|
70 Mill River St Stamford CT 06902-3725 | |
| (203) 961-0063 | |
| (203) 961-0064 |
| Full Name | Boris Mayzler Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 70 Mill River St, Stamford, Connecticut |
| Authorized Official Name and Position | Boris Mayzler (OWNER) |
| Authorized Official Contact | 2039610063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boris Mayzler Do Llc 70 Mill River St Stamford CT 06902-3725 Ph: (203) 961-0063 | Boris Mayzler Do Llc 70 Mill River St Stamford CT 06902-3725 Ph: (203) 961-0063 |
| NPI Number | 1376739730 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 10/06/2023 |
| Medicare PECOS PAC ID | 6901861996 |
|---|---|
| Medicare Enrollment ID | O20041201000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376739730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 038982 (Connecticut) | Primary |
| Provider Name | Boris Mayzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417038753 PECOS PAC ID: 0840251559 Enrollment ID: I20041025001027 |
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