Organization
BORIS DUDELZAK DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS DUDELZAK (PRESIDENT)
(718) 263-0300
Entity
Organization
Contact information
Practice address
2615 E 16TH ST, 2ND FLOOR, BROOKLYN, NY 11235-3805
(718) 263-0300
Mailing address
567 DONALD LN, WOODMERE, NY 11598-1516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
221486
NY
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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