Individual
MICHAEL JAMES FORESTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
256 LYON ST, VALLEY STREAM, NY 11580-2529
(917) 406-2669
Mailing address
256 LYON ST, VALLEY STREAM, NY 11580-2529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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