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DAVID BORUKHOV
NPI 1104715382
Counselor - School in Staten Island, NY

Active since July 01, 2025
191 OLYMPIA BLVD LOWR LEVEL, STATEN ISLAND, NY 10305(347) 242-1770(347) 242-1770 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Borukhov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID BORUKHOV (NPI 1104715382) is an individual school provider in Staten Island, New York and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1104715382
Entity TypeIndividualMale
Primary Taxonomy101YS0200X
Provider Legal NameDAVID BORUKHOV
Location Address191 OLYMPIA BLVD LOWR LEVELStaten Island, NY 10305-4223
Mailing Address191 Olympia Blvd Lowr LevelStaten Island, NY 10305-4223 · (347) 242-1770
Phone(347) 242-1770
Fax(347) 242-1770
Sole ProprietorNo
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1104715382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
191 OLYMPIA BLVD LOWR LEVEL, Staten Island, NY 10305
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIA GARCIA
Counselor (School)
191 OLYMPIA BLVD LOWR LEVEL
STATEN ISLAND, NY 10305
Richmond County (347) 242-1770
KATHERINE BELAU CASAC T
Counselor (Addiction (Substance Use Disorder))
191 OLYMPIA BLVD LOWR LEVEL
STATEN ISLAND, NY 10305
Richmond County (347) 242-1770
AKIRA KING
Counselor (School)
191 OLYMPIA BLVD LOWR LEVEL
STATEN ISLAND, NY 10305
Richmond County (347) 242-1770
JOHN SAMBULA CASAC T
Counselor (Addiction (Substance Use Disorder))
191 OLYMPIA BLVD LOWR LEVEL
STATEN ISLAND, NY 10305
Richmond County (347) 242-1770
JODY NICOLI CASACT
Counselor (Addiction (Substance Use Disorder))
191 OLYMPIA BLVD LOWR LEVEL
STATEN ISLAND, NY 10305
Richmond County (347) 242-1770
BRANDI CHRYSTINA WALDRON
Counselor (School)
191 OLYMPIA BLVD LOWR LEVEL
STATEN ISLAND, NY 10305
Richmond County (347) 242-1770
JENNACEE LAGACEY CASAC T
Counselor (Addiction (Substance Use Disorder))
191 OLYMPIA BLVD LOWR LEVEL
STATEN ISLAND, NY 10305
Richmond County (347) 242-1770
JESSICA RESTREPO CASAC T
Counselor (Addiction (Substance Use Disorder))
191 OLYMPIA BLVD LOWR LEVEL
STATEN ISLAND, NY 10305
Richmond County (347) 242-1770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Borukhov's NPI number?

The NPI number for David Borukhov is 1104715382. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is David Borukhov located?

David Borukhov practices at 191 Olympia Blvd Lowr Level, Staten Island, NY 10305. The listed phone number is (347) 242-1770.

What is David Borukhov's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for David Borukhov was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.