Provider Demographics
NPI:1033277918
Name:BOROWICH, ABBA EMANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ABBA
Middle Name:EMANUEL
Last Name:BOROWICH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:166 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3744
Mailing Address - Country:US
Mailing Address - Phone:212-517-2911
Mailing Address - Fax:212-879-2783
Practice Address - Street 1:30 E 76TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2700
Practice Address - Country:US
Practice Address - Phone:212-517-2911
Practice Address - Fax:212-879-2783
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1062552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB77790Medicare UPIN