Provider Demographics
NPI:1376764290
Name:MARK H. BORKIN, M.D., P.C.
Entity Type:Organization
Organization Name:MARK H. BORKIN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:BORKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-997-2442
Mailing Address - Street 1:303 NORTH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2237
Mailing Address - Country:US
Mailing Address - Phone:914-997-2442
Mailing Address - Fax:914-997-2118
Practice Address - Street 1:303 NORTH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2237
Practice Address - Country:US
Practice Address - Phone:914-997-2442
Practice Address - Fax:914-997-2118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131002207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY088AP1OtherBLUE CROSS BLUE SHIELD
NY4234666OtherAETNA PPO
NYWP758OtherOXFORD
NY0D2643OtherHEALTHNET
NY2756270OtherAETNA HMO
NY2313661008OtherCIGNA
NY=========OtherPOMCO
NY=========OtherPERFORMAX
NY0D2643OtherHEALTHNET
NY=========OtherEMPIRE PLAN
NY2313661008OtherCIGNA
NY2756270OtherAETNA HMO
NY=========OtherUNITED HEALTHCARE
NY=========OtherBEECH STREET
NYWP758OtherOXFORD
NY=========OtherGUARDIAN
NY=========OtherONE HEALTH
NY=========OtherGEHA
NY=========OtherGUARDIAN
NY=========OtherONE HEALTH