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Individual

BORIS GILZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
142 PROSPECT PARK W APT 1, BROOKLYN, NY 11215-4507
(718) 230-1180
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(914) 294-4050

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011045
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q45901
BLUE CROSS BLUE SHEILD
NY
Enumeration date
03/05/2007
Last updated
05/04/2021
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