Individual
MRS. DONNA M FORKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
8 JUNIPER ST, FARMINGDALE, NY 11735-5345
(516) 249-3924
Mailing address
8 JUNIPER ST, FARMINGDALE, NY 11735-5345
(516) 249-3924
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013222
NY
Other
Enumeration date
08/12/2009
Last updated
03/25/2010
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