Boris Itskovich, Md

LBN: Boris Itskovich, Md
Boris Itskovich, Md is an health care organization with primary practice located at 3009 Ocean Pkwy , Brooklyn NY 11235-8302. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Boris Itskovich, Md can be contacted via phone (718) 373-0777, or through Itskovich, Boris via phone (718) 373-0777.

Contact Information

Primary practice address
3009 Ocean Pkwy Brooklyn NY 11235-8302
Phone: (718) 373-0777
Fax: (718) 373-8454
Website:
Map and Directions
Authorized official contact:
Name: Itskovich, Boris Doctor of Medicine (MD)
Phone: (718) 373-0777

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 207492 New York

Profile Details

NPI number 1164864369
LBN Legal business name Boris Itskovich, Md
DBA Doing business as
Authorized official Itskovich, Boris Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2013
Last updated Jul 29th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164864369 NPPES
New York MEDICAID 01799137

Popular Providers