Phillip Forman is a Podiatrist in Staten Island, New York. Phillip Forman practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Phillip Forman is 1386627412. The last update date is 2007-07-08.
Phillip Forman's current location address is 242 Mason Ave, Staten Island, New York. You can contact this provider via phone number 7182266340 and fax number 7182266178. The mailing address for Phillip Forman is 242 Mason Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Forman |
|---|---|
| Address | 242 Mason Ave, Staten Island, New York |
| Phone Number | 7182266340 |
| Fax Number | 7182266178 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1386627412 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 242 Mason Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103053408 |
| Phone Number | 7182266340 |
| Fax Number | 7182266178 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 5142 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Phillip Forman by the Centers for Medicare & Medicaid Services?
The Phillip Forman has been assigned the NPI (National Provider Identifier) 1386627412 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Phillip Forman's facilities are situated?
The facilities of Phillip Forman are physically located at the following address: 242 Mason Ave, Staten Island, NY, 103053408.
What is the area of specialization for Phillip Forman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phillip Forman is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386627412 to Phillip Forman?
The Phillip Forman received its 1386627412 assignment from the Centers for Medicare & Medicaid Services on 2005-11-22.
When was the Phillip Forman's information last updated?
The Phillip Forman's information was last updated on 2007-07-08.