Individual
DR. RODERICK ALLEN BORRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7 LOCUST AVE, SETAUKET, NY 11733-2253
(631) 689-1223
(631) 689-1223
Mailing address
7 LOCUST AVE, SETAUKET, NY 11733-2253
(631) 689-1223
(631) 689-1223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
07931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01897754
—
NY
Enumeration date
12/26/2006
Last updated
07/08/2007
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