Individual
DR. BORIS BERNARD IVKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
184 EAST 70 ST SUITE B1, EAST SIDE MEDICAL AND CARDIOVASCULAR ASS, PC, NEW YORK, NY 10021
(212) 249-1760
(212) 249-2054
Mailing address
184 EAST 70 STREET SUITE B-1, EAST SIDE MEDICAL AND CARDIOVASCULAR ASS, PC, NEW YORK, NY 10021
(212) 249-1760
(212) 249-2054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210772
NY
Other
Enumeration date
09/21/2005
Last updated
02/23/2021
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