Individual
MARY J. FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CS, FNP
Contact information
Practice address
200 MADISON AVE, 3RD FLOOR, ELMIRA, NY 14901-3218
(607) 734-1581
(607) 734-0972
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
331091
NY
363LF0000X
Family Nurse Practitioner
331091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01570456
—
NY
Enumeration date
05/16/2006
Last updated
06/10/2016
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