Provider Demographics
NPI:1386807048
Name:FORESTE REGISTRY INC.
Entity type:Organization
Organization Name:FORESTE REGISTRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:MAGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORESTE
Authorized Official - Suffix:
Authorized Official - Credentials:AAS
Authorized Official - Phone:917-863-4784
Mailing Address - Street 1:17625 UNION TPKE # 262
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1515
Mailing Address - Country:US
Mailing Address - Phone:917-863-4784
Mailing Address - Fax:866-682-4235
Practice Address - Street 1:17625 UNION TPKE # 262
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1515
Practice Address - Country:US
Practice Address - Phone:917-863-4784
Practice Address - Fax:866-682-4235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care