Individual
ALTAGRACE SAINT PAUL-LAFORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1371 SEABURY AVE, BRONX, NY 10461-3651
(718) 618-0401
Mailing address
1371 SEABURY AVE, BRONX, NY 10461-3651
(718) 618-0401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F347336-01
NY
Other
Enumeration date
03/04/2021
Last updated
01/24/2022
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