Individual
CARISSA BORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 MORNINGSIDE AVE, NEW YORK, NY 10027-4802
(212) 586-6400
Mailing address
559 MOUNTAINVIEW AVE, VALLEY COTTAGE, NY 10989-2731
(845) 323-2575
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
674440
NY
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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