# BOTER & KOZHIN OBSTETRICAL & GYNECOLOGICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619130358
- **Authorized official:** DR. NODAR KOZHIN MD (OWNER)
- **Authorized official phone:** (718) 275-8200

## Contact information

- **Practice address:** 6960 108TH ST, SUITE 101, FOREST HILLS, NY 11375-4323
- **Practice address phone:** (718) 275-8200
- **Practice address fax:** (718) 896-3166
- **Mailing address:** 6960 108TH STREET, SUITE 101, FOREST HILLS, NY 11375-4323
- **Mailing address phone:** (718) 275-8200
- **Mailing address fax:** (718) 896-3166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 139141 | NY | Yes |

## Other

- **Enumeration date:** 07/02/2008
- **Last updated:** 07/02/2008