Individual
TSIVIA BOIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(845) 729-0060
Mailing address
430 ARBUCKLE AVE, CEDARHURST, NY 11516-1304
(845) 729-0060
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421190
NY
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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