Boris Avezov, DPT is a
Specialist based in Forest Hills, New York. Boris Avezov is licensed to practice in New York (license number 040332) and his current practice location is
10236 64th Ave, Forest Hills, New York. He can be reached at his office (for appointments etc.) via phone at
(347) 599-6099.
NPI number for Boris Avezov is 1336690361 and his current mailing address is 9614 Metropolitan Ave, Forest Hills, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336690361.
Healthcare Provider's Profile
Full Name | Boris Avezov |
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Gender | Male |
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Speciality | Specialist |
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Location | 10236 64th Ave, Forest Hills, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336690361
- Provider Enumeration Date: 10/14/2016
- Last Update Date: 03/22/2025
Medical Identifiers
Medical identifiers for Boris Avezov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336690361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 040332 (New York) | Secondary |
174400000X | Specialist | 040332 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Boris Avezov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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