Individual
BORIANKA ILIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 425-2655
(845) 425-2696
Mailing address
21 CRESCENT DR APT 81, THIELLS, NY 10984-1652
(845) 429-0855
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
146236-1
NY
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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