Provider Demographics
NPI:1437214426
Name:BORISOFF, RISA P (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RISA
Middle Name:P
Last Name:BORISOFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OLD JACKSON AVE
Mailing Address - Street 2:UNIT 85
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3203
Mailing Address - Country:US
Mailing Address - Phone:914-478-1984
Mailing Address - Fax:914-478-2208
Practice Address - Street 1:10 OLD JACKSON AVE
Practice Address - Street 2:UNIT 85
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-3203
Practice Address - Country:US
Practice Address - Phone:914-478-1984
Practice Address - Fax:914-478-2208
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO-19010--11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical