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Individual

DR. BORIS SAPOZUNIKOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 SHEEPSHEAD BAY ROAD, BROOKLYN, NY 11235
(718) 934-1934
(718) 934-9090
Mailing address
1600 SHEEPSHEAD BAY ROAD, BROOKLYN, NY 11235
(718) 934-1934
(718) 934-9090

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043082
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01216760
NY
Enumeration date
05/14/2008
Last updated
05/14/2008
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