Individual
DR. DONALD RAY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 MADISON AVE STE 2B, ELMIRA, NY 14901-3219
(607) 732-1310
(607) 733-0930
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
292791
NY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
292791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05315802
—
NY
Enumeration date
04/23/2015
Last updated
04/11/2022
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