Individual
JOHN ROGER BORZILLERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1815 HAYWATERS RD, CUTCHOGUE, NY 11935-2791
(631) 734-8257
Mailing address
1815 HAYWATERS RD, CUTCHOGUE, NY 11935-2791
(631) 734-8257
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
167006-1
NY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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