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Contact Information

AUSTIN J BORDEN, PA
301 E MAIN ST
BAY SHORE, NY11706-8408
 Phone: 631-968-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AUSTIN J BORDEN · (Male)

NPI Number 1427694389
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/25/2019
Last updated 11/22/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 024685
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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