Individual
CLYDE FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
665 PELHAM PKWY N APT 402, BRONX, NY 10467-8070
(718) 519-8326
(718) 881-8714
Mailing address
665 PELHAM PKWY N APT 402, BRONX, NY 10467-8070
(718) 519-8326
(718) 881-8714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
587437
NY
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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