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
Fax: (516) 572-3124
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801863659 NPPES
New York MEDICAID 01087425

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