MEDICARE: FRANCES M BORGHERE LCAT, ATR-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LCAT0014	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LCAT0014	OTHER	NY	CREATIVE ARTS THERAPIST

General Provider Information

NPI Number	:	1275732554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES M BORGHERE LCAT, ATR-BC

Provider Business Mailing Address
First Line	:	5130 E MAIN STREET RD
Second Line	:	SUITE 2
City	:	BATAVIA
State	:	NY
Zip	:	14020-3444
Country	:	US
Telephone Number	:	585-344-1421
Fax Number	:	585-344-3047

Provider Business Practice Location Address
First Line	:	5130 E MAIN STREET RD
Second Line	:	SUITE 2
City	:	BATAVIA
State	:	NY
Zip	:	14020-3444
Country	:	US
Telephone Number	:	585-344-1421
Fax Number	:	585-344-3047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	07/16/2007

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