Individual
DR. JACOB BORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
422 WESTERN HWY, TAPPAN, NY 10983-1311
(845) 359-0010
(845) 359-3414
Mailing address
11 MORRIS RD, TAPPAN, NY 10983-1603
(845) 359-6426
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
088020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00530781
—
NY
Enumeration date
05/16/2007
Last updated
07/08/2007
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