Provider Demographics
NPI:1043248057
Name:ARIAS-BORRERO, MICHELLE A (RPA-C)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:A
Last Name:ARIAS-BORRERO
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:A
Other - Last Name:BORRERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPA-C
Mailing Address - Street 1:24 24 ROUTE 6
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509
Mailing Address - Country:US
Mailing Address - Phone:845-278-2720
Mailing Address - Fax:845-363-1892
Practice Address - Street 1:24 24 ROUTE 6
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509
Practice Address - Country:US
Practice Address - Phone:845-278-2720
Practice Address - Fax:845-363-1892
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009383363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical