Dr. Boris L Prakhina, MD
Specialist in Fair Lawn, New Jersey
1609087659- Practice location
- 33-00 Broadway, Suite # 209, Fair Lawn, NJ 07410-4617
- Phone
- 201-796-7666
- Fax
- 201-796-5570
- Last updated
- August 10, 2012
Boris L Prakhina is a Specialist based in Fair Lawn, NJ. Boris L Prakhina practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Boris L Prakhina is 1609087659 and holds a License No. MA068923 (NJ). The current practice location address for Boris L Prakhina is 33-00 Broadway, Suite # 209, Fair Lawn, NJ 07410-4617 and can be reached out via phone at 201-796-7666 and via fax at 201-796-5570.
Provider Profile Details
- NPI Number
- 1609087659
- Provider Name
- Boris L Prakhina
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 33-00 Broadway, Suite # 209, Fair Lawn, NJ 07410-4617
- Phone Number
- 201-796-7666
- Fax Number
- 201-796-5570
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 24, 2007
- Last Update Date
- August 10, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33-00 Broadway
Suite # 209
Fair Lawn, NJ 07410-4617 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-4617
- Phone Number
- 201-796-7666
- Fax Number
- 201-796-5570
Provider Business Mailing Address Details
- Address
- 33-00 Broadway
Suite # 209
Fair Lawn, NJ 07410-4617 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-4617
- Phone Number
- 201-796-7666
- Fax Number
- 201-796-5570
License Information
- License Number
- MA068923
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Boris L Prakhina, MD?
The NPI number of Dr. Boris L Prakhina, MD is 1609087659. It was assigned on May 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Boris L Prakhina, MD?
Dr. Boris L Prakhina, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA068923.
Where does Dr. Boris L Prakhina, MD practice?
The practice location is 33-00 Broadway, Suite # 209, Fair Lawn, NJ 07410-4617. The office can be reached at 201-796-7666 (phone) or 201-796-5570 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609087659 directly on the NPPES registry website.