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Dr. Boris Medarov, MD
Pulmonary Disease Physician in Albany, New York
NPI 1720055098

Boris Medarov is a Pulmonary Disease Physician based in Albany, NY and is specialized in Pulmonary Disease. Boris Medarov practices in Albany, NY and has the professional credentials of MD. The NPI Number for Boris Medarov is 1720055098 and holds a License No. 042836 (New York).

The current practice location address for Boris Medarov is 47 New Scotland Ave # A-91, Albany, NY and can be reached out via phone at 518-262-5196.

Location: 47 New Scotland Ave # A-91, Albany, NY, 12208-3412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720055098
Provider Name
Boris Medarov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
47 New Scotland Ave # A-91, Albany, NY, 12208-3412
Phone Number
518-262-5196
Fax Number
Provider Enumeration Date
03/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356390009 01 CA GROUP NPI
CE1617 01 CA GROUP RAILROAD MEDICARE
GR0100430 01 CA GROUP MEDICAL
1902846306 01 CA GROUP NPI
GROO16910 01 CA GROUP MEDICAID PIN
W11675 01 CA MEDICARE GROUP PIN
W18762 01 CA GROUP MEDICARE
institution
Provider Business Practice Location Address Details
Address
47 New Scotland Ave # A-91
City
Albany
State
New York
Zip
12208-3412
Phone Number
518-262-5196
Fax Number
person
Provider Business Mailing Address Details
Address
47 New Scotland Ave # A-91
City
Albany
State
New York
Zip
12208-3412
Phone Number
518-262-5196
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
042836 (Connecticut)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
042836 (Connecticut)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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