Individual
BORIS KATANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTERS
Contact information
Practice address
13411 KEW GARDENS RD, RICHMOND HILL, NY 11418-1930
(718) 441-0155
(347) 571-6606
Mailing address
9826 64TH AVE APT 6F, REGO PARK, NY 11374-2509
(347) 527-6176
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1367355
NY
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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