Marvin Boris, M.D. PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

MARVIN BORIS, M.D. PLLC

Practice address

77 Froehlich Farm Blvd
Woodbury, NY 11797-2903

Phone

(516) 364-2200

Fax

(516) 364-1844

NPI assigned

Aug 11, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marvin Boris, M.D.

Title

President

Phone

(516) 364-2200

Specialties & licenses 1

Addresses

Other names 1

• Lymphedema Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1093020281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972903",
            "telephone_number": "516-364-2200",
            "fax_number": "516-364-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972903",
            "telephone_number": "516-364-2200",
            "fax_number": "516-364-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN BORIS, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "BORIS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-364-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lymphedema Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Traci Conrad Mankuta, MAED
• Lucian Miron Manu, M.D.
• Samantha Marinaro, NP
• Shabiah Colin Martin, M.D
• Marvin Boris MD and Stanley Weindorf MD
• Mary Corsetieres LTD
• Owen James McCrudden, DPM
• Lorraine McGinn, COTA
• Taylor Helen McGowan
• Medical Oncology Associates of Long Island PC

• Allergy & Immunology Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.