MEDICARE: LARISA BOROKHOV RDN

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1629934021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARISA BOROKHOV RDN

Provider Business Mailing Address
First Line	:	3409 LINDBERGH AVE
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-5528
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3409 LINDBERGH AVE
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-5528
Country	:	US
Telephone Number	:	646-420-8146
Fax Number	:

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

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

Similar Medicare Providers

1518823186 — DR. RICHARD AKILOV
Practice Location Address:

3147 LAWSON BLVD
OCEANSIDE, NY
11572-3717

Practice Phone: 516-208-7332
Practice Fax:

1689530941 — ZELIHA CETINER
Practice Location Address:

3615 MAHLON BROWER DRIVE
OCEANSIDE, NY
11572

Practice Phone: 347-993-3270
Practice Fax:

1619964509 — DR. LOUIS PATRICK BELCASTRO D.P.M.
Practice Location Address:

3229 JUDITH LN
OCEANSIDE, NY
11572-4210

Practice Phone: 516-764-0031
Practice Fax:

1588309736 — JENNIFER MEGAN CHEN DMD
Practice Location Address:

3471 LONG BEACH RD
OCEANSIDE, NY
11572-5424

Practice Phone: 516-536-5800
Practice Fax:

1033074406 — MRS. KAFAYAT SAIBU RN
Practice Location Address:

1 HEALTHY WAY
OCEANSIDE, NY
11572-1551

Practice Phone: 516-632-3910
Practice Fax:

1629684691 — JAYNE WRIGHT
Practice Location Address:

2601 OCEANSIDE RD
OCEANSIDE, NY
11572-1521

Practice Phone: 516-205-4007
Practice Fax:

Directions to “ LARISA BOROKHOV RDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.