<Unavail>

LBN: Everett Forman Pc
<Unavail> is an health care organization with primary practice located at 585 Troy Schenectady Rd , Latham NY 12110-2811. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Everett Forman Pc can be contacted via phone (518) 785-6004, or through Forman, Everett Roy via phone (518) 899-6657.

Contact Information

Primary practice address
585 Troy Schenectady Rd Latham NY 12110-2811
Phone: (518) 785-6004
Fax: (518) 785-1702
Website:
Map and Directions
Authorized official contact:
Name: Forman, Everett Roy Doctor of Medicine (MD)
Phone: (518) 899-6657

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1144402983
LBN Legal business name Everett Forman Pc
DBA Doing business as <Unavail>
Authorized official Forman, Everett Roy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Dec 19th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144402983 NPPES
New York Other 01148 MVP
New York Other 000401336001 MVP
New York Other 080031557 MVP
New York Other 10000672 MVP
New York Other 49E991 MVP

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