Organization
BOTER & KOZHIN OBSTETRICAL & GYNECOLOGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NODAR KOZHIN MD (OWNER)
(718) 275-8200
Entity
Organization
Contact information
Practice address
6960 108TH ST, SUITE 101, FOREST HILLS, NY 11375-4323
(718) 275-8200
(718) 896-3166
Mailing address
6960 108TH STREET, SUITE 101, FOREST HILLS, NY 11375-4323
(718) 275-8200
(718) 896-3166
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
139141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1825167
—
NY
Enumeration date
07/02/2008
Last updated
07/02/2008
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