Provider Demographics
NPI:1396049128
Name:FOSTER, ANNMARIE
Entity type:Individual
Prefix:MRS
First Name:ANNMARIE
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 ROUTE 209
Mailing Address - Street 2:
Mailing Address - City:CUDDEBACKVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12729-5018
Mailing Address - Country:US
Mailing Address - Phone:845-754-8325
Mailing Address - Fax:845-754-7355
Practice Address - Street 1:929 ROUTE 209
Practice Address - Street 2:
Practice Address - City:CUDDEBACKVILLE
Practice Address - State:NY
Practice Address - Zip Code:12729-5018
Practice Address - Country:US
Practice Address - Phone:845-754-8325
Practice Address - Fax:845-754-7355
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY446968-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse