Individual
SOFIYA BORUKHOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
9941 64TH AVE APT D16, REGO PARK, NY 11374-2610
(646) 258-5295
(718) 275-1029
Mailing address
9941 64TH AVE APT D16, REGO PARK, NY 11374-2610
(646) 258-5295
(718) 275-1029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006759
NY
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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