Provider Demographics
NPI:1861656951
Name:BORAWSKI, CEZARY
Entity Type:Individual
Prefix:
First Name:CEZARY
Middle Name:
Last Name:BORAWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 JAY ST
Mailing Address - Street 2:25J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1546
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 JAY ST
Practice Address - Street 2:25J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1546
Practice Address - Country:US
Practice Address - Phone:347-834-7431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247166207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine