Individual
MR. ANTHONY VANN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
311 W 35TH ST, NEW YORK, NY 10001-1701
(212) 736-5900
(212) 736-0252
Mailing address
311 W 35TH ST, NEW YORK, NY 10001-1701
(212) 736-5900
(212) 736-0252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2281241
NY
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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