National Provider Identifier
Vanessa Borotz
Vanessa Borotz is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1174008130
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- September 26, 2018
- Last Updated
- May 29, 2020
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Specialties
- Social Worker (104100000X)
- Social Worker (104100000X)
Full Record
- NPI
- 1174008130
- Entity Type
- Individual
- Last Name
- Borotz
- First Name
- Vanessa
- Mailing Street Address
- 127 W State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5474
- Mailing Country
- US
- Mailing Phone
- (607) 273-7494
- Mailing Fax
- (607) 273-7484
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- September 26, 2018
- Last Updated
- May 29, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 29, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Social Worker (104100000X)
- Other Identifiers
- 383841200 (MD)