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Dr. Boris Joutovsky, DO
Student in an Organized Health Care Education/Training Program in Mineola, New York
NPI 1942875554

Boris Joutovsky is a Student in an Organized Health Care Education/Training Program based in Port Washington, NY. Boris Joutovsky practices in Mineola, NY and has the professional credentials of DO. The NPI Number for Boris Joutovsky is 1942875554 and holds a License No. (New York).

The current practice location address for Boris Joutovsky is 222 Station Plz N Ste 300, Mineola, NY and can be reached out via phone at 516-663-1625.

Location: 222 Station Plz N Ste 300, Mineola, NY, 11050-1431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942875554
Provider Name
Boris Joutovsky
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
222 Station Plz N Ste 300, Mineola, NY, 11050-1431
Phone Number
516-663-1625
Fax Number
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
222 Station Plz N Ste 300
City
Mineola
State
New York
Zip
11501-3893
Phone Number
516-663-1625
Fax Number
person
Provider Business Mailing Address Details
Address
222 Station Plz N Ste 300
City
Mineola
State
New York
Zip
11501-3893
Phone Number
516-663-1625
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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