NPI

Ethlyn M Boreland

NPI 1619047800

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
FNP
Type
Individual
Enumeration date
2006-11-08
Last updated
2007-07-08

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Specialties

Licenses

License NY
F332672

Location

Practice location
Mmc - Emergency Medicine, 111 East 210th Street
City
Bronx NY
Postal code
10467
Phone
(718) 920-7464

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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