Individual
DR. BORA MARDECHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2995
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2995
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
279812-1
NY
Other
Enumeration date
05/11/2011
Last updated
07/03/2015
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