MRS. Florence Fogarty

NPI #1699036723 in Bellport, New York

Provider Information

NPI Number: 1699036723
Entity Type: Individual
Name: MRS. Florence Fogarty
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 5, 2012
Last Updated: Jun 5, 2012

Practice Location

Address: 1813 WISTERIA CIR
City: Bellport
State: New York
ZIP Code: 11713-3054
Phone: (631) 539-7161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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