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Search › New York › 1041C0700X

Diana Forman, LCSW

NPI 1427420553 · on the registry since 2015

Practice

Address
998 Crooked Hill Rd
Brentwood, NY 11717
Phone
(631) 952-3333
Organisation at this address
Suffolk Icm Program
Phoenix House Foundation
Pilgrim Psychiatric Center
Phoenix Houses Of Long Island, Inc.
Suffolk County Dept Of Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
182

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York