Provider Demographics
NPI:1679830335
Name:BOROWIEC, ISAAC (DC)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:BOROWIEC
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 W 29TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:76 9TH AVE
Practice Address - Street 2:SUITE 810
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4962
Practice Address - Country:US
Practice Address - Phone:212-624-1080
Practice Address - Fax:212-624-1074
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32273111N00000X
NY012666111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGH132AOtherPTAN