Individual
MR. MICHAEL DAVID BORON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 WEST 4TH STREET, MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, MOUNT VERNON, NY 10550
(914) 699-7200
(914) 699-0837
Mailing address
107 WEST 4TH STREET, MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, MOUNT VERNON, NY 10550
(914) 699-7200
(914) 699-0837
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
199996-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877792
—
NY
Enumeration date
01/30/2007
Last updated
11/30/2011
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