Individual
MARIETA K BORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
564 1ST AVE, APT 17U, NEW YORK, NY 10016-6482
(917) 254-7990
Mailing address
564 1ST AVE, APT 17U, NEW YORK, NY 10016-6482
(917) 254-7990
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430533-1
NY
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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