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VITALIY BORODULIN M.D.
NPI 1558629980
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 23, 2012
SUNY DOWNSTATE MEDICAL CENTER, 450 CLARKSON AVE, # 1262, BROOKLYN, NY 11203(917) 584-5137 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vitaliy Borodulin M.d. NPPES

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

VITALIY BORODULIN M.D. (NPI 1558629980) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1558629980
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVITALIY BORODULINCredential: M.D.
Location AddressSUNY DOWNSTATE MEDICAL CENTER, 450 CLARKSON AVE, # 1262Brooklyn, NY 11203-2012
Mailing AddressSuny Downstate Medical Center, 450 Clarkson Ave, # 1262Brooklyn, NY 11203-2012 · (917) 584-5137
Phone(917) 584-5137
Sole ProprietorNo
Enumeration DateApril 23, 2012
Last NPPES UpdateApril 24, 2012
✔ NPI 1558629980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
SUNY DOWNSTATE MEDICAL CENTER, Brooklyn, NY 11203
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Other Providers at the Same Location NPPES 11

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

DR. DYLAN BOBROW MD
Internal Medicine
SUNY DOWNSTATE MEDICAL CENTER, 450 CLARKSON AVENUE
BROOKLYN, NY 11203
Kings County (203) 216-5350
DR. AABHA ANANDKUMAR ANEKAR MBBS
Student in an Organized Health Care Education/Training Program
SUNY DOWNSTATE MEDICAL CENTER, 450 CLARKSON AVENUE, MSC 49
BROOKLYN, NY 11203
Kings County (718) 270-1625
ASHER RAJA GORANTLA MD
Student in an Organized Health Care Education/Training Program
SUNY DOWNSTATE MEDICAL CENTER, 650 CLARKSON AVENUE
BROOKLYN, NY 11203
Kings County (718) 210-1566
MR. NICK KHADOO MBBS
Student in an Organized Health Care Education/Training Program
SUNY DOWNSTATE MEDICAL CENTER, 450 CLARKSON AVENUE-BOX 49 MSC 50
BROOKLYN, NY 11203
Kings County (718) 270-2353
DR. ALASTAIR THOMSON MD
Student in an Organized Health Care Education/Training Program
SUNY DOWNSTATE MEDICAL CENTER, 450 CLARKSON AVE.
BROOKLYN, NY 11203
Kings County (718) 245-3131
MS. KAY ROBBINS O.T., C.H.T.
Occupational Therapist (Hand)
SUNY DOWNSTATE MEDICAL CENTER, 445 LENOX RD. BOX 30
BROOKLYN, NY 11203
Kings County (718) 270-4118
MS. JONELLE RAMSARRAN MBBS
Student in an Organized Health Care Education/Training Program
SUNY DOWNSTATE MEDICAL CENTER, 450 CLARKSON AVENUE BOX 49 MSC 49
BROOKLYN, NY 11203
Kings County (718) 270-2078
DR. SEAN JAU-REN YANCEY MBBS
Student in an Organized Health Care Education/Training Program
SUNY DOWNSTATE MEDICAL CENTER, 450 CLARKSON AVENUE
BROOKLYN, NY 11203
Kings County (718) 270-8867

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 Vitaliy Borodulin's NPI number?

The NPI number for Vitaliy Borodulin is 1558629980. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Vitaliy Borodulin located?

Vitaliy Borodulin practices at Suny Downstate Medical Center 450 Clarkson Ave, # 1262, Brooklyn, NY 11203. The listed phone number is (917) 584-5137.

What is Vitaliy Borodulin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Vitaliy Borodulin was last updated on April 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.