Individual
JASMEENE BORGELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2737
(516) 565-0388
Mailing address
129 MITCHELL ST, WEST ORANGE, NJ 07052-4553
(862) 253-7998
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
932486855
EMBLEMHEALTH
NY
Enumeration date
09/14/2017
Last updated
09/14/2017
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