Borkstrom, Ted

Borkstrom, Ted is an sole proprietor health care provider with primary practice located at 44 5Th St , Ronkonkoma NY 11779-5346. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Borkstrom, Ted can be contacted via phone (631) 413-0597.

Contact Information

Primary practice address
44 5Th St Ronkonkoma NY 11779-5346
Phone: (631) 413-0597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1679868590
LBN Legal business name Borkstrom, Ted
Credentials CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2011
Last updated Jun 20th, 2011 - about 14 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.

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