Provider Demographics
NPI:1992070387
Name:BORDEN, RACHEL ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:BORDEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-368-3417
Mailing Address - Fax:585-368-3585
Practice Address - Street 1:75 GENESEE ST, 1ST FLR, SAWB WING
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-3201
Practice Address - Country:US
Practice Address - Phone:585-368-3417
Practice Address - Fax:585-368-3585
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2021-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2820822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400333290-GRP70008AMedicare PIN
NYJ400333295-GRPBA0017Medicare PIN
NYJ400333297Medicare PIN