| Nissan Borr Lmft Pllc | |
|
15025 Union Tpke Flushing NY 11367-3927 | |
| (347) 762-5591 | |
| Not Available |
| Full Name | Nissan Borr Lmft Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15025 Union Tpke, Flushing, New York |
| Authorized Official Name and Position | Nathan Borr (OWNER) |
| Authorized Official Contact | 3476080136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nissan Borr Lmft Pllc 14418 76th Ave Flushing NY 11367-3116 Ph: (347) 608-0136 | Nissan Borr Lmft Pllc 15025 Union Tpke Flushing NY 11367-3927 Ph: (347) 762-5591 |
| NPI Number | 1295588671 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295588671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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