MAIMOONAH KHADIJAN FORDE

BROOKLYN, NY
NPI1720461270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  1792876)
Enumeration Date2015-07-01
Last Update Date2015-07-01
Business Address
Ms. MAIMOONAH KHADIJAN FORDE
1492 BEDFORD AVE #2B
BROOKLYN, NY 11216-3884
Phone number: 718-857-4740
Mailing Address
Ms. MAIMOONAH KHADIJAN FORDE
1492 BEDFORD AVE
BROOKLYN, NY 11216-3884
Phone number: 718-857-4740