Individual
MRS. ANTAEYA NYREE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31 HALLEY DR, POMONA, NY 10970-2001
(845) 664-0740
(845) 354-7735
Mailing address
170 WILLIAMS STREET, 7TH FLOOR, NEW YORK, NY 10038
(212) 312-5400
(845) 354-7735
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014459
NY
Other
Enumeration date
11/14/2011
Last updated
02/08/2018
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