Healthcare Provider Details

I. General information

NPI: 1528001385
Provider Name (Legal Business Name): BORG IMAGING GROUP LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 LATTIMORE RD
ROCHESTER NY
14620-4159
US

IV. Provider business mailing address

125 LATTIMORE RD
ROCHESTER NY
14620-4159
US

V. Phone/Fax

Practice location:
  • Phone: 585-271-0401
  • Fax: 585-271-2051
Mailing address:
  • Phone: 585-271-0401
  • Fax: 585-271-2051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number27013981
License Number StateNY

VIII. Authorized Official

Name: LINDA J WEINSTEIN
Title or Position: FINANCE
Credential:
Phone: 585-271-0401