Provider Demographics
NPI:1780041673
Name:BORKOWSKA, KATARZYNA AGNIESZKA (PT)
Entity Type:Individual
Prefix:MRS
First Name:KATARZYNA
Middle Name:AGNIESZKA
Last Name:BORKOWSKA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:KATARZYNA
Other - Middle Name:AGNIESZKA
Other - Last Name:SOZANSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:18 E 41ST ST
Mailing Address - Street 2:RM 1605
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6240
Mailing Address - Country:US
Mailing Address - Phone:212-759-4553
Mailing Address - Fax:
Practice Address - Street 1:221 W 14TH ST APT 2A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7160
Practice Address - Country:US
Practice Address - Phone:917-717-3615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039648225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist