Individual
MR. ETHAN BORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.OM., L.AC.
Contact information
Practice address
1501 EAST AVE, SUITE 106A, ROCHESTER, NY 14610-1657
(585) 455-2828
(585) 473-0640
Mailing address
1501 EAST AVE., SUITE 106A, ROCHESTER, NY 14610-1657
(585) 455-2828
(585) 473-0640
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003838
NY
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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