Everett Roy Forman M.D.

  • NPI 1528061967
According to our database, the NPI number for Everett Roy Forman M.D. is 1528061967 and activated since 18 years ago. Everett Roy Forman M.D. is an individual provider who specializes in General Practice, and the primary practice location is 585 Troy Schenectady Rd, Latham, NY 12110. You can also contact Everett Roy Forman M.D. via telephone number is (518) 785-6004. Provider NPI information was last updated on 07/08/2007.

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Overview of Everett Roy Forman M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/31/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 208D00000X
  • Specialty: General Practice
  • License Number: 103928-1
  • License State: NY

Provider Mailing Address

  • Address: 47 Sweet Rd
    Ballston Lake, NY 12019
  • Phone: 518-785-6004
  • Fax: 518-785-1702

Provider Practice Location

  • Address: 585 Troy Schenectady Rd
    Latham, NY 12110
  • Phone: 518-785-6004
  • Fax: 518-785-1702

Scope of Practice

  • Taxonomy Code: 208D00000X
  • Specialty: General Practice
  • License Number: 103928-1
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 10000672
  • Identifier Type: Other
  • Identifier State:
  • Issuer: CDPHP

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Everett Roy Forman M.D.?
  • A: The npi number for Everett Roy Forman M.D. is 1528061967.
  • Q: What are Everett Roy Forman M.D.'s specialties?
  • A: Everett Roy Forman M.D.'s specialties are General Practice and different specialities.
  • Q: What is the medical license for Everett Roy Forman M.D.?
  • A: The medical license number for Everett Roy Forman M.D. is 103928-1 and issued in NY in USA.
  • Q: Where is Everett Roy Forman M.D. practice location?
  • A: Everett Roy Forman M.D. is practicing at 585 Troy Schenectady Rd, Latham, NY 12110.
  • Q: How to contact Everett Roy Forman M.D.?
  • A: You can contact Everett Roy Forman M.D. via 518-785-6004.