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Contact Information

KEITH R FORLENZA, PA-C
154-23 25TH AVE.
WHITESTONE, NY11357
 Phone: 917-974-2089
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KEITH R FORLENZA · (Male)

NPI Number 1003242165
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/20/2013
Last updated 09/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • NYU HOSPITALS CENTER - (Acute Care)
    550 FIRST AVENUE
    NEW YORK, NY 10016
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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