Individual
ANGELA BORUKHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6838 136TH ST APT B, FLUSHING, NY 11367-1626
(718) 619-4982
Mailing address
6838 136TH ST APT B, FLUSHING, NY 11367-1626
(718) 619-4982
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1196084
NY
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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