Provider Demographics
NPI:1821378472
Name:BORKOWSKY, HEATHER (MS SPECIAL EDUCATI)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:BORKOWSKY
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PROSPECT PARK SW
Mailing Address - Street 2:APT. 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5971
Mailing Address - Country:US
Mailing Address - Phone:718-788-0115
Mailing Address - Fax:
Practice Address - Street 1:453 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4019
Practice Address - Country:US
Practice Address - Phone:718-788-0450
Practice Address - Fax:718-788-0455
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist