INGMARIE BORNEBY

Contractor

Active Individual
NPI: 1396992590

Practice Address

17 WOODBINE AVE
Stony Brook, NY 11790

Phone: (631) 675-6509

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 004566-1 (NY)

Frequently Asked Questions

NPI 1396992590 is the National Provider Identifier for INGMARIE BORNEBY, a Contractor provider located in Stony Brook, NY. This NPI was enumerated on August 19, 2008.
INGMARIE BORNEBY practices at 17 WOODBINE AVE, Stony Brook, NY 11790.

Quick Facts

NPI
1396992590
Type
Individual
Enumerated
Aug 19, 2008
Last Updated
Aug 19, 2008

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