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Abram Borukh

Dentist in Jamaica, NY. Individual provider (NPI-1).

NPI number1982137832
StatusActive
Last updated in NPPESSep 19, 2018

Details

NPI
1982137832
Entity type
Individual (NPI-1)
Name
Abram Borukh
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 7, 2017
Last updated
Sep 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist059755NYYes
390200000X Student in an Organized Health Care Education/Training Program–NY

Practice location

17637 80th Rd
Jamaica, NY 11432-1408

Phone 917-443-4045

Mailing address

17637 80th Rd
Jamaica, NY 11432-1408

Phone 917-443-4045

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