Individual
MRS. CAROLINE BORRERO-TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
13056 FRANCIS LEWIS BLVD, LAURELTON, NY 11413-1841
(917) 584-0787
Mailing address
6541 SAUNDERS ST APT 5F, REGO PARK, NY 11374-4205
(917) 584-0787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
034089-01
NY
Other
Enumeration date
06/13/2024
Last updated
09/23/2024
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