Individual
DEANDRA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
888 VETERANS HWY STE 310, HAUPPAUGE, NY 11788-2940
(917) 400-6516
Mailing address
888 VETERANS HWY STE 310, HAUPPAUGE, NY 11788-2940
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
872830
NY
Other
Enumeration date
03/26/2025
Last updated
03/27/2025
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