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Search › New York › General Practice Physician

Everett Forman, M.D

NPI 1528061967 · on the registry since 2005

Practice

Address
585 Troy Schenectady Rd
Latham, NY 12110
Phone
(518) 785-6004
Fax
(518) 785-1702
Organisation at this address
Everett Forman Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Physician
208D00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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