Individual
BORIS SHALOMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPED
Contact information
Practice address
90-31 SUTPHIN BLVD, JAMAICA, NY 11425-0001
(718) 291-4692
Mailing address
1201 PENNSYLVANIA AVE APT 4B, BROOKLYN, NY 11239-1209
(917) 640-0012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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