Lestage-Laforest, Marlyn

Lestage-Laforest, Marlyn is an individual health care provider with primary practice located at 1400 Pelham Pkwy S , Bronx NY 10461-1138. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Lestage-Laforest, Marlyn can be contacted via phone (718) 918-3060.

Contact Information

Primary practice address
1400 Pelham Pkwy S Bronx NY 10461-1138
Phone: (718) 918-3060
Fax: (718) 918-4469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 001008 New York

Profile Details

NPI number 1306901491
LBN Legal business name Lestage-Laforest, Marlyn
Credentials CNM, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Apr 21st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306901491 NPPES
New York MEDICAID 02581533

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