Organization
JEFFREY S BORER PHYSICIAN,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY STEPHEN BORER M.D. (SOLE PROPRIETER)
(212) 831-4444
Entity
Organization
Contact information
Practice address
635 MADISON AVE, 3RD FL, NEW YORK, NY 10022-1009
(212) 289-7777
(212) 249-6856
Mailing address
47 E 88TH ST, APT 2A, NEW YORK, NY 10128-1152
(212) 831-4444
(212) 249-6856
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
112183
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00572110
—
NY
Enumeration date
01/14/2015
Last updated
01/14/2015
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