Organization
HADASSAH OBGYN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS PETRIKOVSKY MD (EXECUTIVE OFFICER)
(212) 725-0123
Entity
Organization
Contact information
Practice address
22 E 36TH ST, SUITE 1A, NEW YORK, NY 10016-3419
(212) 725-0123
(212) 725-3738
Mailing address
PO BOX 231023, GREAT NECK, NY 11023-0023
(212) 725-0123
(212) 725-3738
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
163782
NY
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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