Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 078918 | NY |
NPI | 1003135757 |
---|---|
Provider Name | Terry-Jan Foster |
First Address | Brooklyn, NY 11217-2177 |
Second Address | Brooklyn, NY 11217-2177 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2010 |
Last Update Date | 20/05/2010 |