Individual
MR. BORIS M BOBYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2769 CONEY ISLAND AVE STE 2, BROOKLYN, NY 11235-5051
(718) 682-5250
(208) 264-4112
Mailing address
44 FERN AVE, STATEN ISLAND, NY 10308-2226
(718) 682-5250
(208) 264-4112
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/04/2006
Last updated
01/04/2026
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