Provider Demographics
NPI:1801661863
Name:BORAM TLNY LLC
Entity type:Organization
Organization Name:BORAM TLNY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BORAM ANYWHERE LEAD
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:ESH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CLC, PMH-C
Authorized Official - Phone:646-699-4893
Mailing Address - Street 1:200 RIVERSIDE BLVD APT 25E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0904
Mailing Address - Country:US
Mailing Address - Phone:917-415-3399
Mailing Address - Fax:
Practice Address - Street 1:119 W 56TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4000
Practice Address - Country:US
Practice Address - Phone:917-415-3399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty