1083887913 NPI number — B KONNIKOW PHYSICIAN PC

Table of content: (NPI 1083887913)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083887913 NPI number — B KONNIKOW PHYSICIAN PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
B KONNIKOW PHYSICIAN PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083887913
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7636 113TH ST
Provider Second Line Business Mailing Address:
5B
Provider Business Mailing Address City Name:
FOREST HILLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11375-6513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-263-3355
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11020 71ST RD
Provider Second Line Business Practice Location Address:
#104
Provider Business Practice Location Address City Name:
FOREST HILLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11375-4945
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-263-3355
Provider Business Practice Location Address Fax Number:
718-263-3373
Provider Enumeration Date:
04/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KONNIKOW
Authorized Official First Name:
BORIS
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-263-3355

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  204106 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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