Individual provider · Type 1 NPI

Boris Avezov, D.P.T.

Specialist · Forest Hills, NY

NPI number 1336690361 Active

Practice location

10236 64th Ave
Forest Hills, NY 11375-1547

Mailing address

9614 Metropolitan Ave
Forest Hills, NY 11375-6674

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X040332 (NY)
Specialist Primary 174400000X040332 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1336690361

Boris Avezov, D.P.T.'s National Provider Identifier is 1336690361, issued on Oct 14, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Forest Hills, NY. The record was last updated on Mar 22, 2025.