Borukhov, Igor

Borukhov, Igor is an individual health care provider with primary practice located at 8102 Broadway , Elmhurst NY 11373-2450. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Borukhov, Igor can be contacted via phone (718) 205-2282.

Contact Information

Primary practice address
8102 Broadway Elmhurst NY 11373-2450
Phone: (718) 205-2282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 047439 New York

Profile Details

NPI number 1811172919
LBN Legal business name Borukhov, Igor
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Feb 26th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811172919 NPPES
New York Other 047439 PHARMACIST LICENSE

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