person
Boris Bakanov, NP
Adult Health Nurse Practitioner in New York, New York
NPI 1811763576

Boris Bakanov is an Adult Health Nurse Practitioner based in Brooklyn, NY and is specialized in Adult Health. Boris Bakanov practices in New York, NY and has the professional credentials of NP. The NPI Number for Boris Bakanov is 1811763576 and holds a License No. F311621 (New York).

The current practice location address for Boris Bakanov is 440 W 114Th St Fl 6, New York, NY and can be reached out via phone at 212-523-8570. You can also correspond with Boris Bakanov through the mailing address at 1660 E 66TH ST, BROOKLYN, NY - 11234 (mailing address contact number: 718-404-8156).

Location: 440 W 114Th St Fl 6, New York, NY, 11234
person
Provider Profile Details
NPI Number
1811763576
Provider Name
Boris Bakanov
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
440 W 114Th St Fl 6, New York, NY, 11234
Phone Number
212-523-8570
Fax Number
Provider Enumeration Date
12/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
440 W 114Th St Fl 6
City
State
Zip
10025-1796
Phone Number
212-523-8570
Fax Number
person
Provider Business Mailing Address Details
Address
440 W 114Th St Fl 6
City
State
Zip
10025-1796
Phone Number
212-523-8570
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F311621 (New York)
Definition
Definition to come...
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