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NPI Code Detail

MEDICARE: JEM NYC CONSULTING LLC

MEDICARE: JEM NYC CONSULTING LLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1568305746
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEM NYC CONSULTING LLC
Provider Business Mailing Address
First Line : 1900B RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5302
Country : US
Telephone Number : 718-251-1400
Fax Number :
Provider Business Practice Location Address
First Line : 1900B RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5302
Country : US
Telephone Number : 718-930-8565
Fax Number :
Authorized Official
Title or Position : SOLE MEMBER
Name : BOBBY BORUKHOV
Credential :
Telephone Number : 718-251-1400
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “JEM NYC CONSULTING LLC ” Practice Location

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