Basic Information
| Provider Information | |||||||||
| NPI: | 1770697229 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BORSZ | ||||||||
| FirstName: | ZBIGNIEW | ||||||||
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| Credential: | LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 138 TERRACE WAY | ||||||||
| Address2: | |||||||||
| City: | CAMILLUS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130311318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154680296 | ||||||||
| FaxNumber: | 3154721759 | ||||||||
| Practice Location | |||||||||
| Address1: | 324 UNIVERSITY AVE | ||||||||
| Address2: | |||||||||
| City: | SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 132101811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154724471 | ||||||||
| FaxNumber: | 3154721759 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 000749 | NY | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.