Individual
TAVIFA BORDONARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
100 PHILSON DR, ORCHARD PARK, NY 14127-3221
(716) 445-9779
Mailing address
100 PHILSON DR, ORCHARD PARK, NY 14127-3221
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
633646
NY
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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