Provider Demographics
NPI:1376687152
Name:BORAWSKI, KAREN STRIFE (MA CCCA LIC AUDIOLOG)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:STRIFE
Last Name:BORAWSKI
Suffix:
Gender:F
Credentials:MA CCCA LIC AUDIOLOG
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:MARY
Other - Last Name:ZYGMUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7785 N. STATE ST.
Mailing Address - Street 2:LEWIS COUNTY GENERAL HOSPITAL
Mailing Address - City:LOWVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13367
Mailing Address - Country:US
Mailing Address - Phone:315-376-5431
Mailing Address - Fax:315-376-5061
Practice Address - Street 1:7785 N STATE ST
Practice Address - Street 2:
Practice Address - City:LOWVILLE
Practice Address - State:NY
Practice Address - Zip Code:13367-1229
Practice Address - Country:US
Practice Address - Phone:315-376-5431
Practice Address - Fax:315-376-5061
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000984231H00000X
NY14000005537231HA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01164089Medicaid