Organization · Type 2 NPI
Boro Medical, P.c.
Surgical Physician Assistant · Jamaica, NY
NPI number
1790703676
Active
Practice location
16401 Goethals Ave
Jamaica, NY 11432-1223
Fax (718) 820-0441
Mailing address
2202 Steinway St
Astoria, NY 11105-1836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Cardiovascular Disease Physician | 207RC0000X | None listed |
| Gastroenterology Physician | 207RG0100X | None listed |
| Orthopaedic Surgery Physician | 207X00000X | None listed |
| Otolaryngology Physician | 207Y00000X | None listed |
| Surgery Physician | 208600000X | None listed |
| Urology Physician | 208800000X | None listed |
| Podiatrist | 213E00000X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
About NPI 1790703676
Boro Medical, P.c.'s National Provider Identifier is 1790703676, issued on Jul 18, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jamaica, NY. The record was last updated on Sep 11, 2025.