Individual
CHARLENE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 GETTLE RD, AVERILL PARK, NY 12018-9794
(518) 674-7068
Mailing address
45 TINLEY RD, STEPHENTOWN, NY 12169-2102
(518) 733-5767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01929831
NY
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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