Individual
TAMARA BORUKHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6000
Mailing address
68 S SERVICE RD, 3RD FLOOR, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
512398
NY
Other
Enumeration date
11/14/2005
Last updated
10/27/2009
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