BORIS JACOB

CAMBRIA HEIGHTS, NY
NPI1154194751
Former NameBORIS JACOB
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-11-06
Last Update Date2023-11-09
Business Address
-- BORIS JACOB
22004 LINDEN BLVD
CAMBRIA HEIGHTS, NY 11411-1628
Phone number: 718-712-3358
Mailing Address
-- BORIS JACOB
441 ROGERS AVE APT 3R
BROOKLYN, NY 11225-3484
Phone number: 718-541-9199
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