National Provider Identifier
Ethan Borg, M.A.OM., L.AC.
Ethan Borg, M.A.OM., L.AC. is listed in the NPPES registry with a primary specialty of Acupuncturist in Rochester, NY and a listed phone number of (585) 455-2828.
Profile Overview
- NPI
- 1508004482
- Provider Type
- Individual
- Primary Specialty
- Acupuncturist
- Enumeration Date
- January 30, 2009
- Last Updated
- January 30, 2009
Practice Location
- 1501 East Ave
- Suite 106A
- Rochester, NY 14610-1657
Phone: (585) 455-2828
Mailing Address
- 1501 East Ave.
- Suite 106A
- Rochester, NY 14610-1657
Specialties
- Acupuncturist (171100000X)
Full Record
- NPI
- 1508004482
- Entity Type
- Individual
- Last Name
- Borg
- First Name
- Ethan
- Name Prefix
- Mr.
- Credential
- M.A.OM., L.AC.
- Mailing Street Address
- 1501 East Ave.
- Mailing Address Line 2
- Suite 106A
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14610-1657
- Mailing Country
- US
- Mailing Phone
- (585) 455-2828
- Mailing Fax
- (585) 473-0640
- Practice Street Address
- 1501 East Ave
- Practice Address Line 2
- Suite 106A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14610-1657
- Practice Country
- US
- Practice Phone
- (585) 455-2828
- Practice Fax
- (585) 473-0640
- Enumeration Date
- January 30, 2009
- Last Updated
- January 30, 2009
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Acupuncturist (171100000X)