Individual
INESSA BOROCHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
63 61 99 STR, SUITE G1, REGO PARK, NY 11374
(718) 896-5953
Mailing address
63 61 99 ST., SUITE G1, REGO PARK, NY 11375
(718) 896-5953
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004953-1
NY
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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