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1871571448
BORIS N FATAKHOV
BROOKLYN, NY
NPI
1871571448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 231567)
Enumeration Date
2006-01-04
Last Update Date
2007-07-08
Business Address
-- BORIS N FATAKHOV MD
606 WINTHROP ST 6 BUILDING
BROOKLYN, NY 11203-1709
Phone number: 718-245-2362
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Mailing Address
-- BORIS N FATAKHOV MD
7111 YELLOWSTONE BLVD APT 2P
FOREST HILLS, NY 11375-3541
Phone number: 718-575-1547
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