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Individual

DR. LISA BORG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
ROCKEFELLER UNIVERSITY KREEK LAB, 1230 YORK AVE, NEW YORK, NY 10021
(212) 327-8282
(212) 327-7023
Mailing address
ROCKEFELLER UNIVERSITY KREEK LAB, 1230 YORK AVE, NEW YORK, NY 10021
(212) 327-8282
(212) 327-7023

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
1568751
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01420795
NY
Enumeration date
01/30/2007
Last updated
06/10/2020
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