Organization · Type 2 NPI
Boris Itskovich, MD
Primary Care Clinic/Center · Brooklyn, NY
NPI number
1164864369
Active
Practice location
3009 Ocean Pkwy
Brooklyn, NY 11235-8302
Fax (718) 373-8454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 207492 (NY) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1164864369
Boris Itskovich, MD's National Provider Identifier is 1164864369, issued on Jul 29, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 29, 2013.