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Contact Information

BARBARA S FORMAN, MS
9 VICTORIA DR
AMITYVILLE, NY11701-3807
 Phone: 631-691-0655
 Fax: 631-691-0655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for BARBARA S FORMAN · (Female)

NPI Number 1659419695
Status Active
Credentials MS
Entity Individual
Enumeration date 02/02/2007
Last updated 07/25/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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