Individual
DR. CHRISTINE CAROL BORELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3297 NOYAC RD, SAG HARBOR, NY 11963-1942
(631) 903-7886
Mailing address
PO BOX 1605, SAG HARBOR, NY 11963-0058
(631) 903-7886
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018385
NY
103T00000X
Psychologist
SS772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03163435
—
NY
Enumeration date
05/08/2007
Last updated
09/12/2014
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