Individual
MRS. KRISTIE JO FORYT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2034 LEHIGH STATION RD, HENRIETTA, NY 14467-9616
(585) 520-8215
Mailing address
29 CATTARAGUS DR, ROCHESTER, NY 14623-5153
(585) 520-8215
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
483342-01
NY
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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