Borboa, Blanca L
Borboa, Blanca L is an individual health care provider with primary practice located at 21854 99Th Ave , Queens Village NY 11429-1206. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Borboa, Blanca L can be contacted via phone (718) 776-1320.Contact Information
Primary practice address
21854 99Th Ave
Queens Village NY 11429-1206
Phone: (718) 776-1320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 045002-1 | New York |
Profile Details
| NPI number | 1003932583 |
|---|---|
| LBN Legal business name | Borboa, Blanca L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003932583 | NPPES |
| New York | MEDICAID | 01531502 |
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