Yana Borukhova, MASTERS ED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

558286111 Issued in NY

Practice address

8911 63Rd Dr Apt 604
Rego Park
Rego Park, NY 11374-3816

Phone

(917) 407-9902

NPI assigned

Aug 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

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": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1336495787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 63RD DR APT 604",
            "address_2": "REGO PARK",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743816",
            "telephone_number": "917-407-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 63RD DR APT 604",
            "address_2": "REGO PARK",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743816",
            "telephone_number": "917-407-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUKHOVA",
        "first_name": "YANA",
        "name_prefix": "Ms.",
        "credential": "MASTERS ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "558286111",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "558450111",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "558288111",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "558287111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inessa Borochov, DPM
• Ruben Borukhov, LIC ACUPUNCTURIST
• Marina Borukhova, FNP
• Sofiya Borukhova, OTA
• Svetlana Borukhova
• Boulevard 9229 LLC
• Tracy Hazan Bousquet, LMSW
• Elina Bover, DPM
• Eva Braun, LCSW
• Eduar Alban Bravo Paredes

• Specialist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.