MEDICARE: BORIS SAGALOVICH, MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	196707	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518139898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BORIS SAGALOVICH, MD PC

Provider Business Mailing Address
First Line	:	2408 OCEAN AVE
Second Line	:	MO UNIT
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3565
Country	:	US
Telephone Number	:	801-471-0002
Fax Number	:	718-621-1884

Provider Business Practice Location Address
First Line	:	2408 OCEAN AVE
Second Line	:	MO UNIT
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3565
Country	:	US
Telephone Number	:	801-471-0002
Fax Number	:	718-621-1884

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BORIS SAGALOVICH
Credential	:
Telephone Number	:	801-471-0002

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	11/05/2025

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