Ms. Boma Park, MD
Internal Medicine in Mount Vernon, New York
1730363623- Practice location
- 107 W 4TH St, Mount Vernon, NY 10550-4002
- Phone
- 914-699-7200
- Fax
- 914-699-0837
- Last updated
- February 5, 2014
Boma Park is an Internal Medicine based in Mount Vernon, NY. Boma Park practices in Mount Vernon, NY and has the professional credentials of MD. The NPI Number for Boma Park is 1730363623 and holds a License No. 003455 (NY). The current practice location address for Boma Park is 107 W 4TH St, Mount Vernon, NY 10550-4002 and can be reached out via phone at 914-699-7200 and via fax at 914-699-0837.
Provider Profile Details
- NPI Number
- 1730363623
- Provider Name
- Boma Park
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 107 W 4TH St, Mount Vernon, NY 10550-4002
- Phone Number
- 914-699-7200
- Fax Number
- 914-699-0837
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 27, 2007
- Last Update Date
- February 5, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 107 W 4TH St
Mount Vernon, NY 10550-4002 - City
- Mount Vernon
- State
- New York
- Zip
- 10550-4002
- Phone Number
- 914-699-7200
- Fax Number
- 914-699-0837
Provider Business Mailing Address Details
- Address
- 107 West 4TH Street
Mount Vernon, NY 10550 - City
- Mount Vernon
- State
- NY
- Zip
- 10550
- Phone Number
- 914-699-7200
- Fax Number
- 914-699-0837
License Information
- License Number
- 003455
- License State
- NY
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Boma Park, MD?
The NPI number of Ms. Boma Park, MD is 1730363623. It was assigned on December 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Boma Park, MD?
Ms. Boma Park, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 003455.
Where does Ms. Boma Park, MD practice?
The practice location is 107 W 4TH St, Mount Vernon, NY 10550-4002. The office can be reached at 914-699-7200 (phone) or 914-699-0837 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730363623 directly on the NPPES registry website.