Provider Demographics
NPI:1801838255
Name:BORENSTEIN, NIV JEFF (DC)
Entity Type:Individual
Prefix:DR
First Name:NIV
Middle Name:JEFF
Last Name:BORENSTEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3690M KING ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1921
Mailing Address - Country:US
Mailing Address - Phone:703-578-1900
Mailing Address - Fax:703-578-0982
Practice Address - Street 1:3690M KING ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-1921
Practice Address - Country:US
Practice Address - Phone:703-578-1900
Practice Address - Fax:703-578-0982
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01045561479111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor