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NPI Code Detail

MEDICARE: DR. DAVID R BORENSTEIN M.D.

MEDICARE: DR. DAVID R BORENSTEIN M.D.
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
1208100000XPhysical Medicine & Rehabilitation Physician210699NY

General Provider Information

NPI Number : 1144313750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID R BORENSTEIN M.D.
Provider Business Mailing Address
First Line : 1 IPSWICH AVE
Second Line : # 104
City : GREAT NECK
State : NY
Zip : 11021
Country : US
Telephone Number : 516-829-1672
Fax Number :
Provider Business Practice Location Address
First Line : 866 E 29TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2927
Country : US
Telephone Number : 718-758-1560
Fax Number : 718-758-1654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 12/10/2008

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Directions to “ DR. DAVID R BORENSTEIN M.D.” Practice Location

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