Borrie, Roderick Allen

Borrie, Roderick Allen is an sole proprietor health care provider with primary practice located at 7 Locust Ave , Setauket NY 11733-2253. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Borrie, Roderick Allen can be contacted via phone (631) 689-1223.

Contact Information

Primary practice address
7 Locust Ave Setauket NY 11733-2253
Fax: (631) 689-1223
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 07931 New York

Profile Details

NPI number 1467517904
LBN Legal business name Borrie, Roderick Allen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 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 1467517904 NPPES
New York MEDICAID 01897754

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