Individual
ANDREW BORNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 773-5580
Mailing address
306 BEMIS RD, GLOVERSVILLE, NY 12078-6822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060149
NY
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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