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1902294002
BORIS MOLCHANSKIY
STATEN ISLAND, NY
NPI
1902294002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 338573)
Enumeration Date
2014-12-26
Last Update Date
2014-12-26
Business Address
BORIS MOLCHANSKIY NP
84 KENILWORTH AVENUE
STATEN ISLAND, NY 10312
Phone number: 917-747-3249
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Mailing Address
BORIS MOLCHANSKIY NP
84 KENILWORTH AVE
STATEN ISLAND, NY 10312-6803
Phone number: 917-747-3249
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