Provider Demographics
NPI:1679802763
Name:BOSKEY, HILLARD MAYER (MD)
Entity Type:Individual
Prefix:
First Name:HILLARD
Middle Name:MAYER
Last Name:BOSKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675-1309
Mailing Address - Country:US
Mailing Address - Phone:914-980-6366
Mailing Address - Fax:
Practice Address - Street 1:39 CENTER ST
Practice Address - Street 2:
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-1309
Practice Address - Country:US
Practice Address - Phone:914-980-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY156836282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE87235Medicare UPIN