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Individual

MARY A BORRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
135 N MAIN ST, CORTLAND, NY 13045-1226
(607) 758-8019
(607) 758-8210
Mailing address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 758-8019
(607) 758-8210

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000921
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02163808
NY
01
F000921
NYS LIC #
NY
Enumeration date
11/22/2006
Last updated
02/26/2016
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