Most Relevant Information
Provider Data
| NPI Number: | 1003047374 |
| Provider Name: | KIM BORAL NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | F301406 |
Most Important Dates
| Enumeration Date: | 08/04/2009 |
| Last Updated: | 08/04/2009 |
Provider Practice Location
975 STEWART AVE
GARDEN CITY
NY
115304816
Practice Location Phone/Fax
| Phone: | 5162228600 |
| Fax: |
Provider Mailing Location
40 TOWER RD
HOPEWELL JUNCTION
NY
125337417
Provider Mailing Phone/Fax
| Phone: | 8452333726 |
| Fax: |