Individual
FAKIRA SOUMAILA-BORKOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 785-4155
(315) 779-5066
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 785-4155
(315) 779-5066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
148626
AK
363LF0000X
Family Nurse Practitioner
Primary
351629
NY
Other
Enumeration date
09/10/2019
Last updated
09/16/2024
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