Individual
BEATRICE FANORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 ASHLAND PL, BROOKLYN, NY 11217-1661
(718) 858-7200
Mailing address
265 ASHLAND PL, BROOKLYN, NY 11217-1661
(718) 858-7200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311698
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245453273
—
NY
Enumeration date
03/01/2019
Last updated
03/01/2019
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