Provider Demographics
NPI:1154438281
Name:BORRERO, ANGEL (RPA-C)
Entity type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:
Last Name:BORRERO
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 BOGART AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3702
Mailing Address - Country:US
Mailing Address - Phone:718-823-7407
Mailing Address - Fax:718-823-7407
Practice Address - Street 1:WESTCHESTER MEDICAL CENTER
Practice Address - Street 2:ALLIED HEALTH DEPARTMENT
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1689
Practice Address - Country:US
Practice Address - Phone:646-339-5378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009000-01363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical