Individual provider · Type 1 NPI
Boris Molchanskiy, NP
Family Nurse Practitioner · Staten Island, NY
NPI number
1902294002
Active
Practice location
84 Kenilworth Avenue
Staten Island, NY 10312
Mailing address
84 Kenilworth Ave
Staten Island, NY 10312-6803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 338573 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902294002
Boris Molchanskiy, NP's National Provider Identifier is 1902294002, issued on Dec 26, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Dec 26, 2014.