Individual
BORIS KHOTYLEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2126 BENSON AVE APT 5H, BROOKLYN, NY 11214-5033
(347) 673-6817
Mailing address
1806 VOORHIES AVE, APT 3B, BROOKLYN, NY 11235-3648
(718) 427-0362
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
08/05/2015
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