Provider Demographics
NPI:1588799332
Name:BORIS, PATRICIA ANN (NP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:BORIS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:280 CENTRAL AVE
Mailing Address - Street 2:SUNY AT FREDONIA, LOGRASSO HALL HEALTH CENTER
Mailing Address - City:FREDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14063-1127
Mailing Address - Country:US
Mailing Address - Phone:716-673-3131
Mailing Address - Fax:716-673-4722
Practice Address - Street 1:280 CENTRAL AVE
Practice Address - Street 2:SUNY AT FREDONIA, LOGRASSO HALL HEALTH CENTER
Practice Address - City:FREDONIA
Practice Address - State:NY
Practice Address - Zip Code:14063-1127
Practice Address - Country:US
Practice Address - Phone:716-673-3131
Practice Address - Fax:716-673-4722
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF330739-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily