Individual
DR. ALEXANDER BORUKHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10857 64TH AVE, SUITE 1, FOREST HILLS, NY 11375-1442
(718) 830-6263
(718) 830-6263
Mailing address
10857 64TH AVE, SUITE 1, FOREST HILLS, NY 11375-1442
(718) 830-6263
(718) 830-6263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02057041
—
NY
Enumeration date
11/30/2006
Last updated
07/08/2007
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