Marvin Boris MD and Stanley Weindorf MD

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MARVIN BORIS MD AND STANLEY WEINDORF MD

Doing business as

Lymphedema Therapy

Practice address

77 Froehlich Farm Blvd
Woodbury, NY 11797-2903

Phone

(516) 364-2200

Fax

(516) 364-1844

NPI assigned

Feb 20, 2007

Last updated

Jun 17, 2010By the provider in NPPES

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, MD

Title

President

Phone

(516) 364-2200

Specialties & licenses 1

Addresses

Other names 1

• Lymphedema Therapy Doing business as

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1366587263",
    "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 MD AND STANLEY WEINDORF MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-06-17",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lymphedema Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Mandel, MS CCC-SLP
• Traci Conrad Mankuta, MAED
• Lucian Miron Manu, M.D.
• Samantha Marinaro, NP
• Shabiah Colin Martin, M.D
• Marvin Boris, M.D. PLLC (Lymphedema Therapy)
• Mary Corsetieres LTD
• Owen James McCrudden, DPM
• Lorraine McGinn, COTA
• Taylor Helen McGowan

• Specialist in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.