Organization
BOMO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN A BORKOWSKI LCSW-R, CASAC (PRESIDENT)
(631) 581-6846
Entity
Organization
Contact information
Practice address
6800 JERICHO TPKE, SUITE 122W, SYOSSET, NY 11791-4436
(631) 235-3410
Mailing address
26 TAPPAN AVE, ISLIP, NY 11751-4106
(631) 581-6846
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4097
NY
1041C0700X
Clinical Social Worker
Primary
R071800-1
NY
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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