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NPI Code Detail

MEDICARE: MS. ELIZABETH BORRERO MS, RD, CDN

MEDICARE: MS. ELIZABETH BORRERO MS, RD, CDN
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
1133V00000XRegistered Dietitian005440-1NY

General Provider Information

NPI Number : 1437382884
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH BORRERO MS, RD, CDN
Provider Business Mailing Address
First Line : 3616 HENRY HUDSON PKWY
Second Line : RIVERDALE
City : BRONX
State : NY
Zip : 10463-1505
Country : US
Telephone Number : 917-597-3730
Fax Number :
Provider Business Practice Location Address
First Line : 3616 HENRY HUDSON PKWY
Second Line : RIVERDALE
City : BRONX
State : NY
Zip : 10463-1505
Country : US
Telephone Number : 917-597-3730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2009
Last Update Date : 04/17/2014

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