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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BORIS PRIMAKOV SR., RN

Active Sole Proprietor

BORIS PRIMAKOV SR., RN is a Registered Nurse healthcare provider located in KIAMESHA LAKE, New York. NPI 1568879856 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · KIAMESHA LAKE, NY

Registration Details

NPI Number
1568879856
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2014 (12.06559743398 yrs)
Last Updated
Jul 17, 2014
License
489524 (NY)
Sole Proprietor
Yes

Practice Information

Address
12 KATHLEEN CT
KIAMESHA LAKE, NY, 127515037
Browse NY providers · Browse ZIP 12751
Phone
3476065043
Primary Specialty
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.