Individual
MRS. ALLA BORUKHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134-11 KEW GARDENS RD., RICHMOND HILL, NY 11418
(718) 441-0155
Mailing address
8502 139TH ST APT 4M, BRIARWOOD, NY 11435-2652
(347) 475-0165
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12112964
NY
Other
Enumeration date
09/01/2009
Last updated
09/15/2011
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