Provider Demographics
NPI:1235687682
Name:BORKOR, PRISCILLA T
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:T
Last Name:BORKOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 FENIMORE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-6153
Mailing Address - Country:US
Mailing Address - Phone:201-839-6273
Mailing Address - Fax:917-634-3826
Practice Address - Street 1:335 FENIMORE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-6153
Practice Address - Country:US
Practice Address - Phone:201-839-6273
Practice Address - Fax:917-634-3826
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
0932871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1932103413OtherMOUNT SINAI