MEDICARE: MELVIN BOSKIN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	084958	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457313512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELVIN BOSKIN D.O.

Provider Business Mailing Address
First Line	:	900 STRAIGHT PATH
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704-3203
Country	:	US
Telephone Number	:	631-957-0066
Fax Number	:	631-957-2701

Provider Business Practice Location Address
First Line	:	900 STRAIGHT PATH
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704-3203
Country	:	US
Telephone Number	:	631-957-0066
Fax Number	:	631-957-2701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	03/15/2026

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Directions to “ MELVIN BOSKIN D.O.” Practice Location

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