Provider Demographics
NPI:1124547294
Name:FORO, LAUREEN (RN)
Entity Type:Individual
Prefix:
First Name:LAUREEN
Middle Name:
Last Name:FORO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 SOUTH MANNING BLVD.
Mailing Address - Street 2:CENTER FOR DISABILITY SERVICES
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208
Mailing Address - Country:US
Mailing Address - Phone:518-437-5647
Mailing Address - Fax:518-437-5645
Practice Address - Street 1:314 SOUTH MANNING BLVD.
Practice Address - Street 2:CENTER FOR DISABILITY SERVICES
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-437-5647
Practice Address - Fax:518-437-5645
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY286126-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool