Boris Avezov, DPT | |
10236 64th Ave, Forest Hills, NY 11375-1547 | |
(347) 599-6099 | |
Not Available |
Full Name | Boris Avezov |
---|---|
Gender | Male |
Speciality | Specialist |
Location | 10236 64th Ave, Forest Hills, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336690361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 040332 (New York) | Secondary |
174400000X | Specialist | 040332 (New York) | Primary |
Provider Name | Park Slope Medicine, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770534984 PECOS PAC ID: 7810809936 Enrollment ID: O20031105000595 |
Provider Name | Prohealth Care Associates Llp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Provider Name | Sherrie Glasser Physical Therapist Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912099540 PECOS PAC ID: 0648169276 Enrollment ID: O20090601000014 |
Provider Name | Link Home Therapy Services Of Ny-pt Ot Slp Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942782966 PECOS PAC ID: 2466704713 Enrollment ID: O20181015001509 |
Provider Name | New York Luna Care Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194314062 PECOS PAC ID: 0840604666 Enrollment ID: O20210205001168 |
Mailing Address | Practice Location Address |
---|---|
Boris Avezov, DPT 9614 Metropolitan Ave, Forest Hills, NY 11375-6674 Ph: () - | Boris Avezov, DPT 10236 64th Ave, Forest Hills, NY 11375-1547 Ph: (347) 599-6099 |