Individual
DR. YAFFA BORUKHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206
(718) 963-5765
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-5765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0588351
NY
1223P0221X
Pediatric Dentistry
Primary
058835-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
09/17/2019
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