Healthcare Provider Details

I. General information

NPI: 1346565975
Provider Name (Legal Business Name): ESZTER M BOKSAY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 E 30TH ST
NEW YORK NY
10016
US

IV. Provider business mailing address

314 E 30TH ST
NEW YORK NY
10016
US

V. Phone/Fax

Practice location:
  • Phone: 516-644-6768
  • Fax:
Mailing address:
  • Phone: 516-644-6768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number192913
License Number StateNY

VIII. Authorized Official

Name: DR. ESZTER M BOKSAY
Title or Position: SOLE OWNER
Credential: MD
Phone: 516-644-6768