Individual
MICHAEL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1776 CLAY AVE, BRONX, NY 10457-7239
(718) 299-1100
Mailing address
561 COURT ST, BROOKLYN, NY 11231-3804
(718) 780-7421
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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