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Contact Information

BORIS M PETRIKOVSKY, MD
2201 HEMPSTEAD TPKE
MEDICAL STAFF OFFICE BOX 42
EAST MEADOW, NY11554
 Phone: 516-572-6255
 Fax: 516-572-3124
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics

207VX0000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for BORIS M PETRIKOVSKY · (Male)

NPI Number 1801863659
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2006
Last updated 09/04/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 163782
  • NY License # 163782-1
  • NY Medicaid 01087425
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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