Individual provider · Type 1 NPI

Boris Joutovsky, DO

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

NPI number 1942875554 Active

Practice location

222 Station Plz N Ste 300
Mineola, NY 11501-3893

Call (516) 663-1625 Map

Mailing address

7 The Quarter Deck
Port Washington, NY 11050-1431

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.

9 other providers at this address

Other student in an organized health care education/training program providers in Mineola

See all in Mineola →

About NPI 1942875554

Boris Joutovsky, DO's National Provider Identifier is 1942875554, issued on May 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mineola, NY. The record was last updated on May 25, 2021.