Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Rafael Boruchov, DDS

Individual provider Dentist · NPI 1295169472

Dr. Rafael Boruchov, DDS is a Dentist in Forest Hills, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

11620 Queens Blvd
Forest Hills, NY 11375-7055
Phone: (718) 507-7781
Fax: (347) 652-1760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 50056907 (NY)

Record details

NPI number1295169472
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 24, 2013
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address11620 Queens Blvd, Forest Hills, NY 11375-7055

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