Borden, Sandra L
Borden, Sandra L is an sole proprietor health care provider with primary practice located at 677 West End Avenue #1A, New York NY 10025-7361. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychoanalysis is her primary health care specialty. Borden, Sandra L can be contacted via phone (212) 316-7057.Contact Information
Primary practice address
677 West End Avenue #1A
New York NY 10025-7361
Phone: (212) 316-7057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | R034687-1 | New York |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | R034687-1 | New York |
Profile Details
| NPI number | 1861521155 |
|---|---|
| LBN Legal business name | Borden, Sandra L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Sep 17th, 2010 - about 16 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 | 1861521155 | NPPES |
| Other | 476308 | VALUE OPTIONS | |
| Other | 174392 | VALUE OPTIONS |
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