MARVIN BORIS M.D. PLLC NPI 1093020281

NPI Information

  • NPI: 1093020281
  • Provider Name: MARVIN BORIS, M.D. PLLC
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Organization
  • Doing Business As: LYMPHEDEMA THERAPY
  • Address: 77 FROEHLICH FARM BLVD
    WOODBURY, NY
    ZIP 11797
  • Phone: (516) 364-2200

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NPI Details

MARVIN BORIS, M.D. PLLC is an allergy immunology in Woodbury, NY. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. MARVIN BORIS, M.D. PLLC NPI is 1093020281. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lymphedema Therapy.

The provider's business location address is:

77 FROEHLICH FARM BLVD
WOODBURY, NY
ZIP 11797-903
Phone: (516) 364-2200
Fax: (516) 364-1844

The provider's authorized official is Marvin Boris .
The authorized official title is President and has the following contact phone number (516) 364-2200.

The enumeration date for this NPI number is 8/11/2010 and was last updated on 8/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CO6495MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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