Individual
MR. BORIS I PALTIELOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6405 YELLOWSTONE BLVD APT 101, FOREST HILLS, NY 11375-1534
(718) 606-1911
(718) 709-4166
Mailing address
11027 70TH RD, FOREST HILLS, NY 11375-3933
(718) 606-1911
(718) 709-4166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G400001326
PTAN
NY
Enumeration date
06/25/2006
Last updated
10/24/2023
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