Individual
AFUA FORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. M.H.S
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601
(845) 454-8500
Mailing address
1351 ROUTE 55 STE 200, LAGRANGEVILLE, NY 12540-5128
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
179101
NY
207R00000X
Internal Medicine Physician
220486-1
NY
208M00000X
Hospitalist Physician
Primary
220486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02176281
—
NY
Enumeration date
07/02/2006
Last updated
05/06/2022
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