Individual
A IRINA FOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 MIDDLE COUNTRY RD STE 1, LAKE GROVE, NY 11755-2117
(631) 689-8665
Mailing address
2701 MIDDLE COUNTRY RD STE 1, LAKE GROVE, NY 11755-2117
(631) 689-8665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
462908
NY
Other
Enumeration date
08/01/2011
Last updated
09/04/2015
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