Individual
DR. JENNIFER LEA BORCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
700 W MONTAUK HWY, WEST BABYLON, NY 11704-8238
(631) 792-0025
Mailing address
700 W MONTAUK HWY, WEST BABYLON, NY 11704-8238
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009459
NY
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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