Individual
XAVIER FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1979 CENTRAL AVE, ALBANY, NY 12205-4501
(518) 464-6300
(518) 464-6301
Mailing address
1979 CENTRAL AVE, ALBANY, NY 12205-4501
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013014-1
NY
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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