Individual
BOULAT KITAEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 E 22ND ST APT 2F, BROOKLYN, NY 11229-4830
(917) 302-6670
(347) 702-9687
Mailing address
2333 E 22ND ST APT 2F, BROOKLYN, NY 11229-4830
(917) 302-6670
(347) 702-9687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
623253
NY
Other
Enumeration date
12/08/2014
Last updated
02/14/2018
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