Borodulin, Vitaliy

Borodulin, Vitaliy is an individual health care provider with primary practice located at Suny Downstate Medical Center 450 Clarkson Ave, # 1262, Brooklyn NY 11203-2012. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Borodulin, Vitaliy can be contacted via phone (917) 584-5137.

Contact Information

Primary practice address
Suny Downstate Medical Center 450 Clarkson Ave, # 1262 Brooklyn NY 11203-2012
Phone: (917) 584-5137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1558629980
LBN Legal business name Borodulin, Vitaliy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Apr 24th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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