Individual
DR. BORIS ISRAILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9833 64TH AVE, APT 8B, REGO PARK, NY 11374-2544
(646) 387-3019
Mailing address
9833 64TH AVE, APT 8B, REGO PARK, NY 11374-2544
(646) 387-3019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059377-1
NY
Other
Enumeration date
06/06/2016
Last updated
04/16/2018
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