Healthcare Provider Details

I. General information

NPI: 1407169436
Provider Name (Legal Business Name): HOWARD SCOTT BORISKIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2010
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 66TH RD
FOREST HILLS NY
11375-2029
US

IV. Provider business mailing address

150 E SUNRISE HWY 208
LINDENHURST NY
11757-2598
US

V. Phone/Fax

Practice location:
  • Phone: 718-830-1126
  • Fax:
Mailing address:
  • Phone: 631-225-7200
  • Fax: 631-930-9451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number84875
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number245519-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: