Individual provider · Type 1 NPI

Boris Avizov, DO

Student in an Organized Health Care Education/Training Program · Forest Hills, NY

NPI number 1508446816 Active

Practice location

10222 62nd Rd
Forest Hills, NY 11375-1044

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508446816

Boris Avizov, DO's National Provider Identifier is 1508446816, issued on Apr 11, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Hills, NY. The record was last updated on Apr 12, 2021.