Individual
MRS. ANDREEA BORUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2254 2ND AVE, NEW YORK, NY 10029-2268
(212) 221-8355
Mailing address
504 E 118TH ST APT 10, NEW YORK, NY 10035-4447
(917) 403-1418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066654
NY
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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