Provider Demographics
NPI:1760850556
Name:BORKOWSKI, KRYSTYNA E (MS)
Entity Type:Individual
Prefix:MRS
First Name:KRYSTYNA
Middle Name:E
Last Name:BORKOWSKI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 KILLINGWORTH TPKE
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-1319
Mailing Address - Country:US
Mailing Address - Phone:860-886-1451
Mailing Address - Fax:860-889-1242
Practice Address - Street 1:127 ONECO ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2936
Practice Address - Country:US
Practice Address - Phone:860-886-1451
Practice Address - Fax:860-889-1242
Is Sole Proprietor?:No
Enumeration Date:2015-09-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000389237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist