Ida Forster CASAC

NPI 1164699336 - Counselor - 101YA0400X

NPI Details
NPI 1164699336
Gender Female
Enumeration Date 05/15/2008
Last Updated 05/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
9729 64TH RD
REGO PARK NY, 11374-2240, US
Phone (718) 896-3400
Fax (718) 459-5621
Business Location
5 SUMMITVIEW DR
BAYVILLE NY, 11709-1826, US
Phone
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State New York
License Number 4440
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According to our database, Ida Forster CASAC NPI is 1164699336, taxonomy code is 101YA0400X and license number is 4440, license state is located at New York. Ida Forster CASAC physically located at 9729 64th Rd, Rego Park NY, 11374-2240. NPI Number Ida Forster CASAC has the Individual type.

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1164699336 NPI number is provided on an as is basis without warranty of any kind. 1164699336 is maintained by the National Plan & Provider Enumeration System. The contents of Ida Forster CASAC are for informational purposes only.