Lisa Borduin is a Medical in Florida, New York. Lisa Borduin practices all healthcare services and medical treatments related to Medical. The NPI Number for Lisa Borduin is 1497788632. The last update date is 2007-07-08.
Lisa Borduin's current location address is 158 N Main St, Florida, New York. You can contact this provider via phone number 8456511412 and fax number 8456511510. The mailing address for Lisa Borduin is 158 N Main St, Florida, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Borduin |
|---|---|
| Address | 158 N Main St, Florida, New York |
| Phone Number | 8456511412 |
| Fax Number | 8456511510 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1497788632 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 158 N Main St |
|---|---|
| City | Florida |
| State | New York (NY) |
| Post Code | 109211133 |
| Phone Number | 8456511412 |
| Fax Number | 8456511510 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 9221 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1056042 | NCCPA | ||
| 25MP00104200 | NJ | PA MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa Borduin by the Centers for Medicare & Medicaid Services?
The Lisa Borduin has been assigned the NPI (National Provider Identifier) 1497788632 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lisa Borduin?
The Lisa Borduin is situated at 158 N Main St, in the city of Florida, state of NY, with the zip code 109211133.
What is Lisa Borduin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Borduin is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date was the 1497788632 assigned to Lisa Borduin?
The Lisa Borduin was issued its 1497788632 on 2006-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lisa Borduin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Borduin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.