Individual
BORIS BENTSIANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 WEST BRIGHTON AVENUE, SUITE 103, BROOKLYN, NY 11224-8440
(718) 996-2260
Mailing address
40 WEST BRIGHTON AVENUE, SUITE 103, BROOKLYN, NY 11224-8440
(718) 996-2260
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
211012
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02212619
—
NY
Enumeration date
03/23/2006
Last updated
03/09/2009
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