Provider Demographics
NPI:1952617920
Name:MAGID, BORIS (DDS)
Entity type:Individual
Prefix:DR
First Name:BORIS
Middle Name:
Last Name:MAGID
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:BARRY
Other - Middle Name:B
Other - Last Name:MAGID
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:285 WEST END AVE. # Y5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-787-0791
Mailing Address - Fax:
Practice Address - Street 1:285 WEST END AVE. # Y5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-787-0791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0409021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice