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1114222304
MARINA BORUKHOW
FOREST HILLS, NY
NPI
1114222304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2011-01-19
Last Update Date
2011-05-10
Business Address
-- MARINA BORUKHOW PA
6915 YELLOWSTONE BLVD
FOREST HILLS, NY 11375-9406
Phone number: 718-360-9550
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Mailing Address
-- MARINA BORUKHOW PA
6915 YELLOWSTONE BLVD
FOREST HILLS, NY 11375-9406
Phone number:
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