Individual
COURTNEY FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E 34TH ST # 13, NEW YORK, NY 10016-4842
(347) 603-6068
Mailing address
11208 210TH ST APT 2, QUEENS VILLAGE, NY 11429-2225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ACE-14-06555
NY
Other
Enumeration date
05/23/2020
Last updated
05/23/2020
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