Individual
EMILY MAY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
720 WILLOW AVE, ITHACA, NY 14850-3215
(607) 592-7932
Mailing address
720 WILLOW AVE, ITHACA, NY 14850-3215
(607) 592-7932
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F311076-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000000000
—
NY
Enumeration date
11/25/2022
Last updated
11/25/2022
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