Individual
DR. TATIANA BORINOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
63-60 102ND STREET, REGO PARK, NY 10463
(718) 896-3100
(718) 896-0304
Mailing address
63-60 102 STREET, REGO PARK, NY, NY 10463
(718) 896-3100
(718) 896-0304
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
048601
NY
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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