Provider Demographics
NPI:1811281496
Name:BOROS, ANIKO (MSED,TVI)
Entity type:Individual
Prefix:
First Name:ANIKO
Middle Name:
Last Name:BOROS
Suffix:
Gender:F
Credentials:MSED,TVI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CHRISTA LYNN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-4409
Mailing Address - Country:US
Mailing Address - Phone:845-290-6910
Mailing Address - Fax:
Practice Address - Street 1:8 CHRISTA LYNN DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-4409
Practice Address - Country:US
Practice Address - Phone:845-290-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254700081152WV0400X
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No174400000XOther Service ProvidersSpecialist