| Stephen V Boris Md Pc | |
|
895 Mamaroneck Avenue Manaroneck NY 10543 | |
| (914) 698-6666 | |
| (914) 698-6681 |
| Full Name | Stephen V Boris Md Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 895 Mamaroneck Avenue, Manaroneck, New York |
| Authorized Official Name and Position | Stephen V Boris (PRESIDENT) |
| Authorized Official Contact | 9146986666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen V Boris Md Pc 895 Mamaroneck Ave Manaroneck NY 10543 Ph: (914) 698-6666 | Stephen V Boris Md Pc 895 Mamaroneck Avenue Manaroneck NY 10543 Ph: (914) 698-6666 |
| NPI Number | 1013090729 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013090729 | NPI | - | NPPES |
| 00443265 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 099770 (New York) | Primary |
| 208000000X | Pediatrics | (New York) | Primary |
| 208000000X | Pediatrics | 099770 (New York) | Primary |