MEDICARE: BORO MEDICAL, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207X00000X	Orthopaedic Surgery Physician
2	2084N0400X	Neurology Physician
3	208600000X	Surgery Physician
4	208800000X	Urology Physician
5	213E00000X	Podiatrist
6	363AS0400X	Surgical Physician Assistant
7	207K00000X	Allergy & Immunology Physician
8	207Q00000X	Family Medicine Physician
9	207RC0000X	Cardiovascular Disease Physician
10	207RG0100X	Gastroenterology Physician
11	207VG0400X	Gynecology Physician
12	207W00000X	Ophthalmology Physician
13	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1215108568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BORO MEDICAL, P.C.

Provider Business Mailing Address
First Line	:	2202 STEINWAY ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11105-1875
Country	:	US
Telephone Number	:	718-423-0808
Fax Number	:	718-204-6866

Provider Business Practice Location Address
First Line	:	25710 UNION TPKE
Second Line	:
City	:	GLEN OAKS
State	:	NY
Zip	:	11004-1252
Country	:	US
Telephone Number	:	718-820-9365
Fax Number	:	718-820-0441

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT J AQUINO
Credential	:	M.D.
Telephone Number	:	718-423-0808

Provider Enumeration Date	:	03/14/2008
Last Update Date	:	03/14/2008

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Directions to “BORO MEDICAL, P.C. ” Practice Location

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