Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BORIS TAKHALOV, OPTICIAN
Active Sole ProprietorOcularist · WEST HEMPSTEAD, NY
Registration Details
- NPI Number
- 1841535218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2012 (13.363163164359 yrs)
- Last Updated
- May 7, 2019
- License
-
009414-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 HEMPSTEAD TPKEINSIDE NWLWEST HEMPSTEAD, NY, 115522155Browse NY providers · Browse ZIP 11552
- Phone
- 5164939323
- Primary Specialty
-
Ocularist
156FX1700X
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.