| Nissan Borr Lmft | |
|
15005 Union Tpke Flushing NY 11367-3927 | |
| (347) 762-5591 | |
| Not Available |
| Full Name | Nissan Borr Lmft |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15005 Union Tpke, Flushing, New York |
| Authorized Official Name and Position | Nathan Borr (OWNER) |
| Authorized Official Contact | 3477625591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nissan Borr Lmft 7925 150th St Apt L11 Flushing NY 11367-3820 Ph: (347) 762-5591 | Nissan Borr Lmft 15005 Union Tpke Flushing NY 11367-3927 Ph: (347) 762-5591 |
| NPI Number | 1861119471 |
|---|---|
| Provider Enumeration Date | 10/24/2022 |
| Last Update Date | 10/24/2022 |
| Certification Date | 10/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861119471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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