Physician Compare National (NPI:1861521155)

HEALTHCARE PROVIDER: SANDRA L BORDEN LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861521155
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395924617
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110119000552
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BORDEN
	Individual professional last name
Provider First Name	SANDRA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	901 5TH AVE
	Group Practice or individual's line 1 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	100214157
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6463510212
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y