Individual
MARISA BOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
15 BREWSTER LN, EAST SETAUKET, NY 11733-2921
(631) 834-7119
Mailing address
15 BREWSTER LN, EAST SETAUKET, NY 11733-2921
(631) 834-7119
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
F400426
NY
Other
Enumeration date
11/23/2011
Last updated
01/05/2021
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