OrganizationActive
Boris Itskovich, MD
NPI 1164864369 · Primary Care Clinic/Center · Brooklyn, NY
Provider details
- NPI number
- 1164864369
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Boris Itskovich, President(718) 373-0777
- License
- 207492 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3009 Ocean Pkwy
Brooklyn, NY 11235-8302
Phone: (718) 373-0777
Fax: (718) 373-8454
Approximate (ZIP-level) locationGet directions
Mailing address
3009 Ocean Pkwy
Brooklyn, NY 11235-8302
Registry dates
- Enumerated
- 2013-07-29
- Last updated
- 2013-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.