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Organization

NISSAN BORR LMFT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHAN BORR LMFT (OWNER)
(347) 608-0136
Entity
Organization

Contact information

Practice address
15025 UNION TPKE, FLUSHING, NY 11367-3927
(347) 762-5591
Mailing address
14418 76TH AVE, FLUSHING, NY 11367-3116
(347) 608-0136

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
04/08/2024
Last updated
04/08/2024
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