Individual
AVROHAM FORDONSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 BEACH 11TH ST, FAR ROCKAWAY, NY 11691-5545
(248) 417-3813
Mailing address
220 BEACH 11TH ST, FAR ROCKAWAY, NY 11691-5545
(248) 417-3813
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
884929
NY
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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