Organization
BM NURSE PRACTITIONER IN FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS MOSHEYEV (FNP)
(917) 972-4458
Entity
Organization
Contact information
Practice address
6259 108TH ST APT 5H, FOREST HILLS, NY 11375-1314
(917) 972-4458
Mailing address
6259 108TH ST APT 5H, FOREST HILLS, NY 11375-1314
(917) 972-4458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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