Individual
EDWIDGE LAFORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
506 FORT WASHINGTON AVE, NEW YORK, NY 10033
(212) 568-0553
Mailing address
506 FORT WASHINGTON AVE, NEW YORK, NY 10033-2049
(212) 568-0553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338366
NY
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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