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Individual

DR. BORIS N RIVKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3200 BAYCHESTER AVE, BRONX, NY 10475-1513
(718) 320-3700
Mailing address
3200 BAYCHESTER AVE, BRONX, NY 10475-1513

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187516
NY
Enumeration date
03/14/2007
Last updated
07/08/2007
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