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General NPI Number Information
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NPI Number | 1841550050
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Entity Type | Organization
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Legal Business Name | BORUCH MIDWIFERY P.C.
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Dates
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Enumeration Date | 05/22/2012
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 124 E 40TH ST RM 203
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City | NEW YORK
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State | NY
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Zip | 10016-1763
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Country | US
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Telephone | 718-938-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 18222 TUDOR RD
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City | JAMAICA
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State | NY
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Zip | 11432-1510
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Country | US
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Telephone | 718-938-4488
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Fax |
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Authorized Official
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Title or Position | CNM, OBGYN NP
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Name | MRS. YULIYA BORUCH
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Credential | CNM, OB/GYN NP
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Telephone | 718-938-4488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | F001245
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License Number State | NY
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