Provider Demographics
NPI:1861658320
Name:BORECKY, MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:BORECKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:80 29TH ST
Mailing Address - Street 2:HEALTH SERVICE UNIT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-1503
Mailing Address - Country:US
Mailing Address - Phone:718-840-4200
Mailing Address - Fax:718-840-5041
Practice Address - Street 1:80 29TH ST
Practice Address - Street 2:HEALTH SERVICE UNIT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-1503
Practice Address - Country:US
Practice Address - Phone:718-840-4200
Practice Address - Fax:718-840-5041
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY110906207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease