Individual
DR. BORIS AVEZBAKIYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1335 LINDEN BLVD, BROOKLYN, NY 11212-4751
(718) 240-5100
Mailing address
1 BROOKDALE PLZ STE 666, BROOKLYN, NY 11212-3198
(718) 240-7143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
229213
NY
208M00000X
Hospitalist Physician
Primary
229213
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02495729
—
NY
Enumeration date
05/10/2006
Last updated
06/11/2025
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