Natalie Borukhova

Primary specialty

SpecialistTaxonomy code 174400000X

License

280243081 Issued in NY

Practice address

6325 Dry Harbor Rd
Middle Village, NY 11379-1964

Phone

(917) 482-6910

NPI assigned

Feb 4, 2013

Last updated

Feb 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1285973792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 DRY HARBOR RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 DRY HARBOR RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791964",
            "telephone_number": "917-482-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUKHOVA",
        "first_name": "NATALIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "280243081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.