Individual
MRS. MARLYN LESTAGE-LAFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MPH
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
(718) 918-4469
Mailing address
18 EASTBOURNE DR, CHESTNUT RIDGE, NY 10977-6403
(845) 323-8194
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
001008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02581533
—
NY
Enumeration date
12/27/2006
Last updated
04/21/2015
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