Individual
KIM FORRESTER-DUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
97 AMITY STREET, BROOKLYN, NY 11201
(718) 780-1025
Mailing address
97 AMITY STREET, BROOKLYN, NY 11201
(718) 780-1025
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
254952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254952
LICENSE
NY
Enumeration date
05/12/2010
Last updated
07/12/2010
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