Individual
FE APLASCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
104 FULTON AVE, POUGHKEEPSIE, NY 12603
(845) 452-1700
(845) 452-1752
Mailing address
104 FULTON AVE, POUGHKEEPSIE, NY 12603
(845) 452-1700
(845) 452-1752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
141512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00726792
—
NY
Enumeration date
03/28/2006
Last updated
04/26/2011
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