Individual
BORIS DOLUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2116 AVENUE P, BROOKLYN, NY 11229-1507
(347) 739-4583
Mailing address
2116 AVENUE P, BROOKLYN, NY 11229-1507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023288
NY
Other
Enumeration date
02/18/2007
Last updated
07/13/2012
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