JACQUELINE ST FORT

ORANGEBURG, NY
NPI1588404800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY  569827)
Enumeration Date2024-05-27
Last Update Date2024-05-27
Business Address
JACQUELINE ST FORT
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962-1157
Phone number: 845-680-8600
Mailing Address
JACQUELINE ST FORT
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962-1157
Phone number: 845-680-8600
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