Borduin, Lisa

Borduin, Lisa is an individual health care provider with primary practice located at 2904 Route 6 , Slate Hill NY 10973-3810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Borduin, Lisa can be contacted via phone (845) 355-4611.

Contact Information

Primary practice address
2904 Route 6 Slate Hill NY 10973-3810
Phone: (845) 355-4611
Fax: (845) 355-2776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 009221 New York

Profile Details

NPI number 1497788632
LBN Legal business name Borduin, Lisa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497788632 NPPES
Other 1056042 NCCPA
Other 25MP00104200 NCCPA

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