| Ivan Boras, | |
|
1400 Pelham Pkwy S, Bronx, NY 10461-1138 | |
| (718) 918-5000 | |
| Not Available |
| Full Name | Ivan Boras |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1400 Pelham Pkwy S, Bronx, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457846164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 113738 (ZZ) | Primary |
| Entity Name | Coney Island Medical Practice Plan, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
| Entity Name | Emusc Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1265988182 PECOS PAC ID: 5597045526 Enrollment ID: O20161209000824 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Boras, 332 E 67th St, New York, NY 10065-6231 Ph: () - | Ivan Boras, 1400 Pelham Pkwy S, Bronx, NY 10461-1138 Ph: (718) 918-5000 |
Tierney Magill Behles, Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4321 | |
Dr. Victoire Bogui, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1770 Grand Concourse, Bronx, NY 10457 Phone: 718-901-8110 Fax: 718-901-8121 | |
Dr. Amit Punj, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3450 Wayne Ave, Apt 13 H, Bronx, NY 10467 Phone: 918-850-1030 | |
Dr. Hadley S Bach, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1966 Newbold Ave, Suite 107, Bronx, NY 10472 Phone: 718-863-9733 | |
Khrystyna Leskiv, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1775 Grand Concourse, Bronx, NY 10453 Phone: 718-992-7669 | |
Dr. Klenise Paranhos, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2386 Jerome Ave, Bronx, NY 10546 Phone: 718-220-1771 | |
David Tashman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4601 Henry Hudson Pkwy W, A-11, Bronx, NY 10471 Phone: 718-519-0500 |