Forman, Lisa Dianne

Forman, Lisa Dianne is an individual health care provider with primary practice located at 7901 Broadway Elmhurst Hospital, Room H-116, Elmhurst NY 11373-1329. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Forman, Lisa Dianne can be contacted via phone (718) 334-3044.

Contact Information

Primary practice address
7901 Broadway Elmhurst Hospital, Room H-116 Elmhurst NY 11373-1329
Phone: (718) 334-3044
Fax: (718) 334-5759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 211282 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 211282 New York

Profile Details

NPI number 1639101777
LBN Legal business name Forman, Lisa Dianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 27th, 2007 - about 19 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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