Individual
DONNEILLE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 299-7295
(718) 299-6797
Mailing address
2626 HALPERIN AVE, BRONX, NY 10461-2631
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028300
NY
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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