Provider Demographics
NPI:1598268989
Name:SAINT FORT, LUCIENNE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LUCIENNE
Middle Name:
Last Name:SAINT FORT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:LUCIENNE
Other - Middle Name:
Other - Last Name:SAINT-FORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:5 KEITH DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-5015
Mailing Address - Country:US
Mailing Address - Phone:845-300-0392
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6504
Practice Address - Country:US
Practice Address - Phone:212-241-1992
Practice Address - Fax:212-426-7616
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-13
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF341546-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily