Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boston Road Medical Practice PC

Organization Internal Medicine Physician · NPI 1306816285

Boston Road Medical Practice PC is an Internal Medicine Physician in Bronx, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2190 Boston Rd Ste 1N
Bronx, NY 10462-1201
Phone: (718) 863-8663
Fax: (718) 863-8261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1306816285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valeri Kazakov — Owner Of The Medical Practice · (718) 863-8663
NPI enumeratedJanuary 24, 2006
Last updated in NPPESSeptember 7, 2010
Mailing address31 Amanda Ln, New Rochelle, NY 10804-3313

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