Individual
DR. BORIS BLUDOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 ORIENTAL BLVD STE 1, BROOKLYN, NY 11235-4124
(718) 646-7174
(718) 332-0327
Mailing address
745 GILBERT PL, VALLEY STREAM, NY 11581-3125
(347) 249-4816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225883
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02323811
—
NY
Enumeration date
06/24/2006
Last updated
07/08/2007
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