DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INGMARIE BORNEBY

Active Sole Proprietor

INGMARIE BORNEBY is a Contractor healthcare provider located in STONY BROOK, New York. NPI 1396992590 is currently active in the NPPES registry. Verify at CMS.

Contractor · STONY BROOK, NY

Registration Details

NPI Number
1396992590
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2008 (18.009768067681 yrs)
Last Updated
Aug 19, 2008
License
004566-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
17 WOODBINE AVE
STONY BROOK, NY, 117901533
Browse NY providers · Browse ZIP 11790
Phone
6316756509
Primary Specialty
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.