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.

NPI 1508004482Rochester, NYAcupuncturist

Source: public NPPES record, last updated January 30, 2009. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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)