Forde, Sandra L.

Forde, Sandra L. is an individual health care provider with primary practice located at 140-15 Sanford Ave , Flushing NY 11355. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Forde, Sandra L. can be contacted via phone (718) 670-6400.

Contact Information

Primary practice address
140-15 Sanford Ave Flushing NY 11355
Phone: (718) 670-6400
Fax: (718) 640-6479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 229141 New York

Profile Details

NPI number 1356397681
LBN Legal business name Forde, Sandra L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Nov 13th, 2017 - about 9 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 1356397681 NPPES
New York MEDICAID 02720634

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