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1811763576
BORIS BAKANOV
NEW YORK, NY
NPI
1811763576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F311621)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
BORIS BAKANOV NP
440 W 114TH ST FL 6
NEW YORK, NY 10025-1796
Phone number: 212-523-8570
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Mailing Address
BORIS BAKANOV NP
1660 E 66TH ST
BROOKLYN, NY 11234
Phone number: 718-404-8156
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