Individual
GEORGETTE DIONICIA FOSTER FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
16 W 36TH ST, NEW YORK, NY 10018-8004
(212) 719-9600
Mailing address
88 COOPER ST, BROOKLYN, NY 11207-1415
(646) 932-8458
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
585714
NY
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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