Petrikovsky, Boris Markovich
Petrikovsky, Boris Markovich is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke Medical Staff Office Box 42, East Meadow NY 11554. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Petrikovsky, Boris Markovich can be contacted via phone (516) 572-6255.Contact Information
Primary practice address
2201 Hempstead Tpke Medical Staff Office Box 42
East Meadow NY 11554
Phone: (516) 572-6255
Fax: (516) 572-3124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 163782-1 | New York |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 163782 | New York |
Profile Details
| NPI number | 1801863659 |
|---|---|
| LBN Legal business name | Petrikovsky, Boris Markovich |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Sep 4th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801863659 | NPPES |
| New York | MEDICAID | 01087425 |
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