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Individual

BORIS RIPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1250 E HALLANDALE BLVD, 500, HALLANDALE BEACH, FL 33009-6305
(305) 424-0903
(718) 891-1101
Mailing address
230 174TH ST APT 2014, SUNNY ISLES BEACH, FL 33160-5769
(305) 424-0903
(718) 891-1101

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207307
NY
208000000X
Pediatrics Physician
Primary
207307
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01755811
NY
05
8459209
NJ
Enumeration date
09/17/2006
Last updated
09/19/2025
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