Individual provider · Type 1 NPI

Vitaliy Borodulin, MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1558629980 Active

Practice location

Suny Downstate Medical Center, 450 Clarkson Ave, # 1262
Brooklyn, NY 11203-2012

Call (917) 584-5137 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558629980

Vitaliy Borodulin, MD's National Provider Identifier is 1558629980, issued on Apr 23, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 24, 2012.