Individual
BORIS AVEZOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
10236 64TH AVE, FOREST HILLS, NY 11375-1547
(347) 599-6099
Mailing address
9614 METROPOLITAN AVE, FOREST HILLS, NY 11375-6674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040332
NY
225100000X
Physical Therapist
040332
NY
Other
Enumeration date
10/14/2016
Last updated
03/22/2025
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