Everett Roy Forman

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NPI Number Detailed Information

Provider Information:

Name:	Everett Roy Forman
Gender:	M
Provider License Number If Given:	103928-1

NPI Information:

NPI:	1528061967
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/31/2005
Last Update Date:	7/8/2007

Provider Business Mailing Address:

Address:	47 SWEET RD Ballston Lake, NY 12019
Phone Number:	5187856004
Fax Number:	5187851702

Provider Business Practice Location Address:

Address:	585 TROY SCHENECTADY RD Latham, NY 12110
Phone Number:	5187856004
Fax Number:	5187851702

Provider Taxonomy:

Primary:	208D00000X
Secondary (if any):
State:	NY

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About Everett Roy Forman

Everett Roy Forman ( EVERETT ROY FORMAN ) is Definition General Practice Physician in Latham, NY. The NPI Number for Everett Roy Forman is 1528061967.

The current location address for Everett Roy Forman is 585 TROY SCHENECTADY RD Latham, NY 12110 and the contact number is 5187856004 and fax number is 5187851702. The mailing address for Everett Roy Forman is 47 SWEET RD Ballston Lake, NY 12019- 5187856004 (mailing address contact number - 5187856004).

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FAQs:

What is the NPI Number for Everett Roy Forman ?

Answer: The NPI Number for Everett Roy Forman is 1528061967

Where is Everett Roy Forman located?

Answer: Everett Roy Forman is located at 585 TROY SCHENECTADY RD Latham, NY 12110.

What is the specialty for Everett Roy Forman ?

Answer: The Specialty of Everett Roy Forman is Definition General Practice Physician.

Are there any online reviews for Everett Roy Forman ?

Answer: Not yet!

Are there any other health care providers in Latham, NY?

Answer: Yes, there are given below...

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