Individual
DR. GREGORY BORUKHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1448 86TH ST, BROOKLYN, NY 11228-3429
(718) 265-2020
Mailing address
4600 9TH AVE APT 511, BROOKLYN, NY 11220-2307
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
TUV008172-1
NY
Other
Enumeration date
06/25/2014
Last updated
11/09/2015
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