Provider Demographics
NPI:1932990496
Name:YAFFA BORUKHOVA DDS PC
Entity type:Organization
Organization Name:YAFFA BORUKHOVA DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YAFFA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORUKHOVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-396-1577
Mailing Address - Street 1:400 S OYSTER BAY RD STE 105
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3500
Mailing Address - Country:US
Mailing Address - Phone:513-396-1577
Mailing Address - Fax:516-396-9820
Practice Address - Street 1:400 S OYSTER BAY RD STE 105
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3500
Practice Address - Country:US
Practice Address - Phone:513-396-1577
Practice Address - Fax:516-396-9820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty