BORIS BAKANOV

NEW YORK, NY
NPI1811763576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F311621)
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
BORIS BAKANOV NP
440 W 114TH ST FL 6
NEW YORK, NY 10025-1796
Phone number: 212-523-8570
Mailing Address
BORIS BAKANOV NP
1660 E 66TH ST
BROOKLYN, NY 11234
Phone number: 718-404-8156