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Individual

DR. BORIS MICHAEL KAPELNIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6373 108TH ST, FOREST HILLS, NY 11375-1607
(718) 896-2020
Mailing address
6373 108TH ST, FOREST HILLS, NY 11375-1607
(718) 896-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009780
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02879716
NY
Enumeration date
05/25/2006
Last updated
09/16/2020
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