Boriskin, Lea M
Boriskin, Lea M is an individual health care provider with primary practice located at 10819 Rockaway Blvd , South Ozone Park NY 11420-1034. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boriskin, Lea M can be contacted via phone (718) 845-2620.Contact Information
Primary practice address
10819 Rockaway Blvd
South Ozone Park NY 11420-1034
Phone: (718) 845-2620
Fax: (718) 845-9380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 078617 | New York |
Profile Details
| NPI number | 1154571396 |
|---|---|
| LBN Legal business name | Boriskin, Lea M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2008 |
| Last updated | Jan 29th, 2013 - about 13 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 | 1154571396 | NPPES |
| New York | MEDICAID | 00078617 |
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