Individual
ANGELA BORUKHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 2ND AVE, NEW YORK, NY 10075-0504
(121) 232-7475
Mailing address
1535 2ND AVE, NEW YORK, NY 10075-0504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
050821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01625992
—
NY
Enumeration date
01/02/2008
Last updated
01/02/2008
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