Individual ProviderBoris L GambarinInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address263 7th Ave, Brooklyn, NY 11215(718) 246-8600PECOS EnrollmentBased on the most recent information from CMS, provider Boris L Gambarin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1578538674Provider TypeIndividualFull NameGambarin, Boris LCredentialMDGenderMaleSole ProprietorYesEnumeration Date2/22/2006Last Updated9/23/2011Contact InformationPractice LocationPractice Address263 7th Ave, Brooklyn, NY 11215Phone(718) 246-8600Fax(718) 246-8601Mailing LocationMailing AddressPO Box 5450, New York, NY 10087-5450Phone(718) 246-8600Fax(718) 246-8601Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense199908New YorkProvider IdentifiersIDDescriptionIssuerID01582383DescriptionMedicaidIssuerUnlistedNew York