# BORIS MARKOVICH PETRIKOVSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801863659
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | 163782 | NY | Yes |
| 207VX0000X | Obstetrics Physician | 163782-1 | NY | — |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 09/04/2018