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Contact Information

FIVE BOROUGHS MEDICAL ASSOCIATES, P.C.
36 OSPREY AVENUE
RIVERHEAD, NY11901
 Phone: 347-417-9081
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for FIVE BOROUGHS MEDICAL ASSOCIATES PC · (Female)

NPI Number 1548574155
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2010
Last updated 08/06/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 255627
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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