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Individual

MS. ANTOINETTE FORSTER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
SUNY PUTNAM HALL RM 103, STONY BROOK, NY 11794-0001
(631) 632-3106
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 632-3106

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F400485-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02052399
NY
Enumeration date
06/08/2006
Last updated
07/08/2007
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