Sachakov, Boris

Sachakov, Boris is an sole proprietor health care provider with primary practice located at 8405 Bay Pkwy , Brooklyn NY 11214-3359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Sachakov, Boris can be contacted via phone (718) 621-1800.

Contact Information

Primary practice address
8405 Bay Pkwy Brooklyn NY 11214-3359
Fax: (718) 621-1365
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 228151 New York

Profile Details

NPI number 1376524785
LBN Legal business name Sachakov, Boris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2005
Last updated Mar 31st, 2010 - about 14 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 1376524785 NPPES
New York MEDICAID 02685349

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