Individual
BORIS LEVANDOVSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
525 E 68TH ST # 99, NEW YORK, NY 10065-4870
(212) 746-4684
(646) 962-0148
Mailing address
525 E 68TH ST # 99, NEW YORK, NY 10065-4870
(212) 746-4684
(646) 962-0148
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
308601
NY
Other
Enumeration date
04/12/2019
Last updated
09/30/2019
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