MEDICARE: BORO MEDICAL OF NEW YORK, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207K00000X	Allergy & Immunology Physician
2	207R00000X	Internal Medicine Physician
3	207RG0100X	Gastroenterology Physician
4	207VG0400X	Gynecology Physician
5	213E00000X	Podiatrist
6	363AM0700X	Medical Physician Assistant
7	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1982622833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BORO MEDICAL OF NEW YORK, INC.

Provider Business Mailing Address
First Line	:	2202 STEINWAY ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11105-1836
Country	:	US
Telephone Number	:	718-423-0808
Fax Number	:	718-204-6866

Provider Business Practice Location Address
First Line	:	2323 1ST AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-4303
Country	:	US
Telephone Number	:	212-369-4141
Fax Number	:	212-722-6166

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	09/11/2025

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