Individual
MS. AMY LISA BORGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7470
(718) 962-6268
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7470
(718) 962-6268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003364
NY
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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