Individual
BERNADETTE ROSARIA LAFOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 US OVAL STE 100, PLATTSBURGH, NY 12903-5901
(518) 561-1767
Mailing address
44 KENT ST APT 4, KEESEVILLE, NY 12944-1256
(520) 304-1777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
503294
NY
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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