Individual
MS. ABIGAIL R FORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16 EAST 16TH SREET, NEW YORK, NY 10003
(212) 206-5200
Mailing address
780 CONCOURSE VLG W APT 24D, BRONX, NY 10451-3863
(718) 293-1316
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6572947
NY
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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