Sharon Forman LCSW

NPI 1740399369 - Social Worker - 1041C0700X

NPI Details
NPI 1740399369
Gender Female
Enumeration Date 08/29/2006
Last Updated 10/04/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11 POLHEMUS ST
SUITE 1
TAPPAN NY, 10983-1722, US
Phone (845) 536-8875
Fax (845) 398-8875
Business Location
11 POLHEMUS ST
TAPPAN NY, 10983-1722, US
Phone (845) 398-8875
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 044648
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According to our database, Sharon Forman LCSW NPI is 1740399369, taxonomy code is 1041C0700X and license number is 044648, license state is located at New York. Sharon Forman LCSW physically located at 11 Polhemus St, Tappan NY, 10983-1722. NPI Number Sharon Forman LCSW has the Individual type.

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1740399369 NPI number is provided on an as is basis without warranty of any kind. 1740399369 is maintained by the National Plan & Provider Enumeration System. The contents of Sharon Forman LCSW are for informational purposes only.