Individual
BORIS MOSHEYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4626 WHITE PLAINS RD, BRONX, NY 10470-1610
(718) 547-4077
Mailing address
4626 WHITE PLAINS RD, BRONX, NY 10470-1610
(718) 547-4077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341209-1
NY
Other
Enumeration date
01/09/2017
Last updated
10/09/2017
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