Provider Demographics
NPI:1508085309
Name:BOYARSKY, JUSTIN SCOTT (PA)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:SCOTT
Last Name:BOYARSKY
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:400 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3417
Mailing Address - Country:US
Mailing Address - Phone:718-283-7125
Mailing Address - Fax:718-635-6071
Practice Address - Street 1:4802 10TH AVE.
Practice Address - Street 2:GELLMAN PAVILLION, 3RD FLOOR, RADIOLOGY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-283-7125
Practice Address - Fax:718-635-6071
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
009522363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant