Individual
MR. NEIL K FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
15 E DEVONIA AVE, MOUNT VERNON, NY 10552-1006
(646) 852-2373
Mailing address
15 E DEVONIA AVE, MOUNT VERNON, NY 10552-1006
(646) 852-2373
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
278444
NY
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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