Individual
AUTUMN FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1641
Mailing address
8 LLANFAIR LN, EWING, NJ 08618-1012
(609) 216-4540
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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