Doctor Name: | CYNTHIA FORAN |
NPI Number: | 1073883344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 33 337051 |
Business Practice Address: | 735 Anderson Hill Rd Purchase, NY - 105771402 |
Business Phone Number: | 9148796385 |
Business Fax Number: | |
Mailing Address: | 60 Teapot Hill Rd, WILTON |
State: | CT |
Postal Code: | 068971515 |
Phone Number: | 2035152577 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2012 |
NPI Last Update Date: | 01/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 33 337051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |