Provider Demographics
NPI:1316180342
Name:BORODYANSKIY, ALEKSEY I (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEKSEY
Middle Name:I
Last Name:BORODYANSKIY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:BORODYANSKIY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3801 NE 207TH ST APT 2502
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3786
Mailing Address - Country:US
Mailing Address - Phone:773-592-4174
Mailing Address - Fax:888-958-0545
Practice Address - Street 1:1100 NW 95TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2038
Practice Address - Country:US
Practice Address - Phone:305-710-9021
Practice Address - Fax:888-958-0545
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036131257207R00000X
FLME146567207R00000X, 207RB0002X, 207RP1001X, 207RS0012X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine