Individual provider · Type 1 NPI
Lisa Borduin, PA
Medical Physician Assistant · Slate Hill, NY
NPI number
1497788632
Active
Practice location
2904 Route 6
Slate Hill, NY 10973-3810
Fax (845) 355-2776
Mailing address
158 N Main St, PO Box 299
Florida, NY 10921-1133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 009221 (NY) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
About NPI 1497788632
Lisa Borduin, PA's National Provider Identifier is 1497788632, issued on Jul 9, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Slate Hill, NY. The record was last updated on Jul 8, 2007.