Individual
DR. BORIS MAZUROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3048 BRIGHTON 1ST ST, BROOKLYN, NY 11235-8080
(718) 368-1170
(718) 368-2342
Mailing address
3048 BRIGHTON 1ST ST, BROOKLYN, NY 11235-8080
(718) 368-1170
(718) 368-2342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01897089
—
NY
Enumeration date
09/25/2006
Last updated
05/22/2019
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