Carl Boris is a Family Medicine in Massapequa, New York. Carl Boris practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Carl Boris is 1194883793. The last update date is 2008-05-19.
Carl Boris's current location address is 99 Grand Ave, Massapequa, New York. You can contact this provider via phone number 5167952626 and fax number 5167997451. The mailing address for Carl Boris is 99 Grand Ave, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Boris |
|---|---|
| Address | 99 Grand Ave, Massapequa, New York |
| Phone Number | 5167952626 |
| Fax Number | 5167997451 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1194883793 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2008-05-19 |
Provider Mailing Address Detail
| Address | 99 Grand Ave |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 117581203 |
| Phone Number | 5167952626 |
| Fax Number | 5167997451 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 89458 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201285536 | EMPIRE | ||
| 5491B1 | BLUE CROSS BLUE SHIELD | ||
| 5C4402 | HEALTH NET | ||
| AP624 | OXFORD | ||
| 4115108 | AETNA | ||
| 89458 | HIP | ||
| 5061 | VYTRA | ||
| 5996232 | GHI | ||
| P00230863 | RR MCR | ||
| 201285536 | MAGNACARE |
Post Comment/ Review Below
What is the unique identification code assigned to Carl Boris by the Centers for Medicare & Medicaid Services?
The Carl Boris has been issued the NPI (National Provider Identifier) 1194883793. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Carl Boris's facilities are geographically located?
The facilities of Carl Boris are physically situated at the following location: 99 Grand Ave, Massapequa, NY, 117581203.
What is Carl Boris's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carl Boris is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did Carl Boris receive its 1194883793 assignment from the Centers for Medicare & Medicaid Services?
The Carl Boris was assigned its 1194883793 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Carl Boris most recently updated or revised?
The information pertaining to Carl Boris, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-19.