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

Boris A Konnikow, MDPHD

Individual provider Psychiatry Physician · NPI 1841281540

Boris A Konnikow, MDPHD is a Psychiatry in Forest Hills, New York. Qualified in 1973, 53 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
53
Licensed in
NY
In the registry since
2005
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11020 71st Rd Ste 104
Forest Hills, NY 11375-4945
Phone: (718) 263-3355
Fax: (718) 263-3373
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 204106 (NY)

Record details

NPI number1841281540
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorYes
NPI enumeratedNovember 2, 2005
Last updated in NPPESAugust 14, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Forest Hills