Provider Demographics
NPI:1407134208
Name:BOROWIEC, LINDA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:BOROWIEC
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 METROTECH CTR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-8400
Mailing Address - Country:US
Mailing Address - Phone:718-403-0700
Mailing Address - Fax:
Practice Address - Street 1:4 METROTECH CTR
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-8400
Practice Address - Country:US
Practice Address - Phone:718-403-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039586122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist