Provider Demographics
NPI:1073740304
Name:BORDONE, LINDSEY ALEXIS (MD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ALEXIS
Last Name:BORDONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:161 FORT WASHINGTON AVE
Mailing Address - Street 2:12TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3729
Mailing Address - Country:US
Mailing Address - Phone:212-305-5293
Mailing Address - Fax:212-795-1859
Practice Address - Street 1:51 W 51ST ST
Practice Address - Street 2:SUITE 390
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-6113
Practice Address - Country:US
Practice Address - Phone:212-326-8465
Practice Address - Fax:212-326-8567
Is Sole Proprietor?:No
Enumeration Date:2009-06-13
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY273124207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology