MEDICARE: DR. ESTER BORUKHOVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	054546	NY

General Provider Information

NPI Number	:	1043522568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ESTER BORUKHOVA

Provider Business Mailing Address
First Line	:	2108 3RD AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-2103
Country	:	US
Telephone Number	:	347-400-3330
Fax Number	:

Provider Business Practice Location Address
First Line	:	2108 3RD AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-2103
Country	:	US
Telephone Number	:	347-400-3330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2010
Last Update Date	:	03/30/2014

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Directions to “ DR. ESTER BORUKHOVA ” Practice Location

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