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General NPI Number Information
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NPI Number | 1093281735
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Entity Type | Organization
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Legal Business Name | BORIS BOBYR NP IN ADULT HEALTH PC
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Dates
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Enumeration Date | 10/20/2018
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 2769 CONEY ISLAND AVE STE 2
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City | BROOKLYN
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State | NY
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Zip | 11235-5051
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Country | US
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Telephone | 718-682-5250
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Fax | 208-264-4112
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Provider Business Mailing Address
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Address Line | 44 FERN AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-2226
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Country | US
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Telephone | 718-682-5250
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Fax | 208-264-4112
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Authorized Official
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Title or Position | NP
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Name | BORIS M BOBYR
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Credential | NP
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Telephone | 718-682-5250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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