Individual
EILEEN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CARN
Contact information
Practice address
132 W 125TH ST, NEW YORK, NY 10027-4439
(212) 636-4847
Mailing address
132 W 125TH ST, NEW YORK, NY 10027-4439
(212) 636-4847
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
400767-01
NJ
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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