Individual
BORIS MOLCHANSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
84 KENILWORTH AVENUE, STATEN ISLAND, NY 10312
(917) 747-3249
Mailing address
84 KENILWORTH AVE, STATEN ISLAND, NY 10312-6803
(917) 747-3249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338573
NY
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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