| Elizabeth Borukhova, NP | |
|
2246 31st St, Astoria, NY 11105-2786 | |
| (718) 728-8800 | |
| Not Available |
| Full Name | Elizabeth Borukhova |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2246 31st St, Astoria, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952120008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F354763 (New York) | Primary |
| Entity Name | Medidental Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518439967 PECOS PAC ID: 9739428608 Enrollment ID: O20190312000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Borukhova, NP 2246 31st St, Astoria, NY 11105-2786 Ph: () - | Elizabeth Borukhova, NP 2246 31st St, Astoria, NY 11105-2786 Ph: (718) 728-8800 |
Laurita Hidalgo, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3416 34th St, Apt 3f, Astoria, NY 11106 Phone: 212-241-5533 | |
Fariha Kabir, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1456 31st Dr Apt 5d, Astoria, NY 11106 Phone: 347-891-6046 | |
Audrey Duffy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2710 30th Ave, #la, Astoria, NY 11102 Phone: 718-932-9870 Fax: 718-932-9878 | |
Ms. Dianne Edwina Cavanaugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2510 30th Ave, Mount Sinai Hospital Queens, Astoria, NY 11102 Phone: 718-932-1000 | |
John O' Leary, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4904 19th Ave, Astoria, NY 11105 Phone: 718-777-3494 | |
Kerstin Connaire, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-932-1000 | |
Dafina Naydenova, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2180 33rd Rd Apt 7c, Astoria, NY 11106 Phone: 917-400-8466 |