Individual
DANIEL FORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4898 RIDGE RD, WILLIAMSON, NY 14589-9381
(585) 802-2592
Mailing address
4898 RIDGE RD, WILLIAMSON, NY 14589-9381
(585) 802-2592
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304480
NY
Other
Enumeration date
10/03/2013
Last updated
04/14/2014
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