Prakhina, Boris L
Prakhina, Boris L is an individual health care provider with primary practice located at 33-00 Broadway Suite # 209, Fair Lawn NJ 07410-4617. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Prakhina, Boris L can be contacted via phone (201) 796-7666.Contact Information
Primary practice address
33-00 Broadway Suite # 209
Fair Lawn NJ 07410-4617
Phone: (201) 796-7666
Fax: (201) 796-5570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA068923 | New Jersey |
Profile Details
| NPI number | 1609087659 |
|---|---|
| LBN Legal business name | Prakhina, Boris L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Aug 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609087659 | NPPES |
| New Jersey | MEDICAID | 7979100 |
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