Individual provider · Type 1 NPI

Boris L. Prakhina, MD

Specialist · Fair Lawn, NJ

NPI number 1609087659 Active

Practice location

33-00 Broadway, Suite # 209
Fair Lawn, NJ 07410-4617

Fax (201) 796-5570

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA068923 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1609087659

Boris L. Prakhina, MD's National Provider Identifier is 1609087659, issued on May 24, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fair Lawn, NJ. The record was last updated on Aug 10, 2012.