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Provider Information for 1154571396

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

LEA M BORISKIN LCSW

Other Name:   LEA GREENSPAN
Gender: FEMALE

Individual NPI: 1154571396

Calendar   Last Updated:  2013-01-29
  Certification Date: 

Details

Name Value
NPI 1154571396
Enumeration Date 2008-09-24
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 10819 ROCKAWAY BLVD
SOUTH OZONE PARK, NY 11420-1034
United States

Phone: 718-845-2620 | Fax: 718-845-9380
View Map External Link
Primary Practice Address 10819 ROCKAWAY BLVD
SOUTH OZONE PARK, NY 11420-1034
United States

Phone: 718-845-2620 | Fax: 718-845-9380
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID NY 00078617
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1041C0700X - Social Worker Clinical NY 078617