John-Borde, Jennifer F

John-Borde, Jennifer F is an sole proprietor health care provider with primary practice located at 9050 Francis Lewis Blvd , Queens Village NY 11428-1069. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. John-Borde, Jennifer F can be contacted via phone (718) 740-4700.

Contact Information

Primary practice address
9050 Francis Lewis Blvd Queens Village NY 11428-1069
Fax: (718) 740-4716
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 040626-1 New York

Profile Details

NPI number 1710016175
LBN Legal business name John-Borde, Jennifer F
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2007
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 1710016175 NPPES
New York MEDICAID 02120065

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