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Individual

DR. ELISSA KAY FORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2799 W GRAND BLVD # K-11, DETROIT, MI 48202-2608
(800) 653-6568
(313) 916-5117
Mailing address
425 W 59TH ST, SUITE 6A, NEW YORK, NY 10019-8022
(212) 523-6521
(212) 523-6962

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301115381
MI

Other

Enumeration date
05/21/2008
Last updated
05/29/2019
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