Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 012406 | NY |
Y | 111NR0200X | Radiology | 012406 | NY |
Y | 213ER0200X | Radiology | 012406 | NY |
NPI | 1750833174 |
---|---|
Provider Name | Dr. Christopher Borgerding |
First Address | Seneca Falls, NY 13148-9425 |
Second Address | Seneca Falls, NY 13148-9425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2016 |
Last Update Date | 02/11/2016 |