Individual
BORIS PORSHNEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP CRNA
Contact information
Practice address
2680 E 19TH ST APT 4L, BROOKLYN, NY 11235-3306
(347) 693-3995
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(347) 693-3995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
635226-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
119484
NJ
Other
Enumeration date
09/05/2018
Last updated
08/21/2023
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