Individual
JONATHON BORAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAT
Contact information
Practice address
583 5TH STREET, BROOKLYN, NY 11215
(917) 740-6140
Mailing address
583 5TH STREET, BROOKLYN, NY 11215
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000135
NY
Other
Enumeration date
08/30/2008
Last updated
10/09/2013
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