Provider Demographics
NPI:1669587903
Name:BORIN, JAMES FREDERIC (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FREDERIC
Last Name:BORIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 E 32ND ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6058
Mailing Address - Country:US
Mailing Address - Phone:646-825-6300
Mailing Address - Fax:646-825-6399
Practice Address - Street 1:150 E 32ND ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6058
Practice Address - Country:US
Practice Address - Phone:646-825-6300
Practice Address - Fax:646-825-6399
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215552208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP258Medicare PIN
MDI13387Medicare UPIN