Borodyansky, Laura
Borodyansky, Laura is an individual health care provider with primary practice located at 45 Longwood Ave #602, Brookline MA 02446-5244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Borodyansky, Laura can be contacted via phone (617) 840-7740.Contact Information
Primary practice address
45 Longwood Ave #602
Brookline MA 02446-5244
Phone: (617) 840-7740
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 237697 | Massachusetts |
Profile Details
NPI number | 1689865214 |
---|---|
LBN Legal business name | Borodyansky, Laura |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 8th, 2007 |
Last updated | Aug 6th, 2010 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689865214 | NPPES |
Massachusetts | MEDICAID | 110080184A | |
Massachusetts | Other | 1689865214 | |
Massachusetts | Other | 0046123 | |
Massachusetts | Other | 953848-01 | |
Massachusetts | Other | 1689865214 | |
Massachusetts | Other | AA121284 |
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