Irene S Borja
Nurse Practitioner - Family Medicine
736 Irving Ave
Syracuse
, New York 13210-1687
Irene S Borja
Nurse Practitioner - Family Medicine
736 Irving Ave
Syracuse
, New York 13210-1687
(315) 470-7111
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Irene S Borja
- 736 Irving Ave
- Syracuse, NY
- Zip : 13210-1687
- Phone : (315) 470-7111
Second Address
- Irene S Borja
- 736 Irving Ave
- Syracuse, NY
- Zip : 13210-1687
- Phone : (315) 470-7111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 335837 | NY |
National Provider Identifier
| NPI | 1003128620 |
|---|---|
| Provider Name | Irene S Borja |
| First Address | Syracuse, NY 13210-1687 |
| Second Address | Syracuse, NY 13210-1687 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2010 |
| Last Update Date | 18/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.