| Doctor Name: | LEA M BORISKIN |
| NPI Number: | 1154571396 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 078617 |
| Business Practice Address: | 10819 Rockaway Blvd South Ozone Park, NY - 114201034 |
| Business Phone Number: | 7188452620 |
| Business Fax Number: | 7188459380 |
| Mailing Address: | 10819 Rockaway Blvd, SOUTH OZONE PARK |
| State: | NY |
| Postal Code: | 114201034 |
| Phone Number: | 7188452620 |
| Fax Number: | 7188459380 |
| NPI Enumeration Date: | 09/24/2008 |
| NPI Last Update Date: | 01/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 078617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |