Individual
CHRISTA LAFORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 PATCHOGUE HOLBROOK RD, RONKONKOMA, NY 11779-5721
(516) 234-8291
Mailing address
117 PATCHOGUE HOLBROOK RD, RONKONKOMA, NY 11779-5721
(516) 234-8291
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337493-01
NY
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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