Provider Demographics
NPI:1467586792
Name:BORO PARK OBSTETRICS & GYNECOLOGY P.C.
Entity type:Organization
Organization Name:BORO PARK OBSTETRICS & GYNECOLOGY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILOCAMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-972-7888
Mailing Address - Street 1:P.O. BOX 9581
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-9581
Mailing Address - Country:US
Mailing Address - Phone:718-972-2700
Mailing Address - Fax:718-972-2701
Practice Address - Street 1:5925 15 AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219
Practice Address - Country:US
Practice Address - Phone:718-972-2700
Practice Address - Fax:718-972-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty