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Individual

DR. BORIS SACHAKOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8405 BAY PKWY, BROOKLYN, NY 11214-3359
(718) 621-1800
(718) 621-1365
Mailing address
6610 YELLOWSTONE BLVD, APT 4D, FOREST HILLS, NY 11375-2042
(719) 896-5662
(718) 621-1365

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
228151
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02685349
NY
Enumeration date
11/11/2005
Last updated
03/31/2010
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