Provider Demographics
NPI:1346450897
Name:BYALIK, BORIS (DO)
Entity Type:Individual
Prefix:DR
First Name:BORIS
Middle Name:
Last Name:BYALIK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2754 CONEY ISLAND AVE
Mailing Address - Street 2:#113
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:347-668-6819
Mailing Address - Fax:347-246-7144
Practice Address - Street 1:51-15 BEACH CHANNEL DRIVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691
Practice Address - Country:US
Practice Address - Phone:718-734-2000
Practice Address - Fax:718-734-3027
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY258389207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine