National Provider Identifier Database

FIVE BOROUGHS MEDICAL ASSOCIATES PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

FIVE BOROUGHS MEDICAL ASSOCIATES, P.C.
36 OSPREY AVENUE
RIVERHEAD, NY11901
Phone: 347-417-9081
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for FIVE BOROUGHS MEDICAL ASSOCIATES, P.C.

NPI Number 1548574155
Legal business name
LBN
FIVE BOROUGHS MEDICAL ASSOCIATES, P.C.
Authorized official BRIAN MARMOR - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 08/06/2010
Last updated 08/06/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 255627

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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