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1841281540
BORIS A KONNIKOW
FOREST HILLS, NY
NPI
1841281540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NY 204106)
Enumeration Date
2005-11-02
Last Update Date
2013-08-14
Business Address
BORIS A KONNIKOW MD PHD
11020 71ST RD SUITE 104
FOREST HILLS, NY 11375-4945
Phone number: 718-263-3355
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Mailing Address
BORIS A KONNIKOW MD PHD
11020 71ST RD SUITE 104
FOREST HILLS, NY 11375-4914
Phone number: 917-502-9888
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