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1174931422
MICHELLE FORDE
BAY SHORE, NY
NPI
1174931422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F401746)
Enumeration Date
2014-07-31
Last Update Date
2015-07-29
Business Address
Mrs. MICHELLE FORDE NP
1444 5TH AVE
BAY SHORE, NY 11706-4147
Phone number: 631-647-2048
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Mailing Address
Mrs. MICHELLE FORDE NP
1444 5TH AVE
BAY SHORE, NY 11706-4147
Phone number: 631-647-2048
Copy
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