Individual
AKINA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25369 149TH AVE, ROSEDALE, NY 11422-2819
(718) 828-2666
Mailing address
25369 149TH AVE, ROSEDALE, NY 11422-2819
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321093
NY
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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