Individual
LARISA BOROKHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3409 LINDBERGH AVE, OCEANSIDE, NY 11572-5528
(646) 420-8146
Mailing address
3409 LINDBERGH AVE, OCEANSIDE, NY 11572-5528
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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