Individual
ETHLYN M BORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
MMC - EMERGENCY MEDICINE, 111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-7464
Mailing address
77 MARION DR, NEW ROCHELLE, NY 10804-1435
(718) 920-7464
(718) 798-0730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332672
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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