Individual
ILANA BORUKHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 E 98TH ST, NEW YORK, NY 10029-6501
(212) 241-5656
Mailing address
1 GUSTAVE L LEVY PL, BOX 3000, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016882
NY
Other
Enumeration date
10/31/2013
Last updated
02/27/2019
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