Individual
JUDITH FOINMBAMTITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 MANCHESTER RD STE 105, POUGHKEEPSIE, NY 12603-2587
(845) 452-1700
(845) 452-1752
Mailing address
301 MANCHESTER RD STE 105, POUGHKEEPSIE, NY 12603-2587
(845) 452-1700
(845) 452-1752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
683185-1
NY
363L00000X
Nurse Practitioner
Primary
683185-01
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F383277-01
NY
Other
Enumeration date
07/24/2014
Last updated
04/01/2026
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