MEDICARE: ANDREW ROSS BOONE MD

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	207XS0106X	Orthopaedic Hand Surgery Physician	327398	NY

General Provider Information

NPI Number	:	1063972883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW ROSS BOONE MD

Provider Business Mailing Address
First Line	:	450 CLARKSON AVE # 30
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2012
Country	:	US
Telephone Number	:	718-270-2045
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 CLARKSON AVE # 30
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2012
Country	:	US
Telephone Number	:	718-270-2045
Fax Number	:

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

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	01/26/2026

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