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Boris Mulokandov
NPI 1487989406 · on the registry since 2009 · sole proprietor
Practice
- Address
- 16524 Baisley Blvd
Store #14 Mall #1
Jamaica, NY 11434 - Phone
- (718) 276-0055
- Fax
- (718) 276-5059
- Organisation at this address
- Bbo Holdings, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York