Individual provider · Type 1 NPI
Boris Bakanov, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1811763576
Active
Practice location
440 W 114th St Fl 6
New York, NY 10025-1796
Mailing address
1660 E 66th St
Brooklyn, NY 11234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F311621 (NY) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1811763576
Boris Bakanov, NP's National Provider Identifier is 1811763576, issued on Dec 4, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jan 23, 2025.