BORIS KHODORKOVSKY

STATEN ISLAND, NY
NPI1558346676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NY  231634)
Enumeration Date2005-12-13
Last Update Date2010-12-09
Business Address
Dr. BORIS KHODORKOVSKY MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9158
Mailing Address
Dr. BORIS KHODORKOVSKY MD
1 EDGEWATER ST 6TH FLOOR
STATEN ISLAND, NY 10305-4900
Phone number: 718-226-4324