Individual
DR. CYRUS AMIR BOQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4781 BROADWAY, NEW YORK, NY 10034
(212) 304-6920
Mailing address
4781 BROADWAY, NEW YORK, NY 10034
(212) 304-6920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
241009
NY
Other
Enumeration date
10/20/2006
Last updated
09/13/2012
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