Individual
BORISLAV KHEYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
596 RAMONA AVE, STATEN ISLAND, NY 10309-2223
(646) 330-8623
Mailing address
596 RAMONA AVE, STATEN ISLAND, NY 10309-2223
(646) 330-8623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA0993600
NJ
Other
Enumeration date
12/08/2013
Last updated
08/19/2019
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