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1558346676
BORIS KHODORKOVSKY
STATEN ISLAND, NY
NPI
1558346676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 231634)
Enumeration Date
2005-12-13
Last Update Date
2010-12-09
Business Address
Dr. BORIS KHODORKOVSKY MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9158
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Mailing Address
Dr. BORIS KHODORKOVSKY MD
1 EDGEWATER ST 6TH FLOOR
STATEN ISLAND, NY 10305-4900
Phone number: 718-226-4324
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