Organization
NISSAN BORR LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN BORR LMFT (OWNER)
(347) 762-5591
Entity
Organization
Contact information
Practice address
15005 UNION TPKE, FLUSHING, NY 11367-3927
(347) 762-5591
Mailing address
7925 150TH ST APT L11, FLUSHING, NY 11367-3820
(347) 762-5591
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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