Boris Davydov
Boris Davydov is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Licensed in Connecticut. Registered with an NPI since 2018.
- Licensed in
- CT
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
5645 Main StFlushing, NY 11355-5045
Phone: (718) 670-2000
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 12611 (CT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1699267955 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 3, 2018 |
| Last updated in NPPES | August 13, 2019 |
| Mailing address | 10849 63rd Ave Apt 1p, Forest Hills, NY 11375-1360 |
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