Bakanov, Boris

Bakanov, Boris is an individual health care provider with primary practice located at 440 W 114Th St Fl 6 , New York NY 10025-1796. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Bakanov, Boris can be contacted via phone (212) 523-8570.

Contact Information

Primary practice address
440 W 114Th St Fl 6 New York NY 10025-1796
Phone: (212) 523-8570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F311621 New York

Profile Details

NPI number 1811763576
LBN Legal business name Bakanov, Boris
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2023
Last updated Dec 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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