Individual
PAMELA M DEFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CENTENNIAL WOMEN'S CENTER, 3332 ROCHAMBEAU AVENUE, BRONX, NY 10467
(718) 920-5157
Mailing address
3673 MARCY ST, MOHEGAN LAKE, NY 10547-1055
(718) 920-5157
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
195044
NY
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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