Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHARON IVY FORMAN
Active Sole ProprietorSpecialist · MASSAPEQUA PARK, NY
Registration Details
- NPI Number
- 1194087882
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2012 (13.887150575724 yrs)
- Last Updated
- Aug 17, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
141 KOEHL STMASSAPEQUA PARK, NY, 117622215Browse NY providers · Browse ZIP 11762
- Phone
- 5167998043
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Case Manager
Other Specialist Providers in MASSAPEQUA PARK, NY
| Name | Credential | NPI |
|---|---|---|
| YANIRA DIGIORGIO | OTR | 1427351824 |
| LINDA MOLETA | MS | 1972864908 |
| MRS. GINA MARIE BELFIORE | — | 1164784922 |
| CHRISTINA CORRENTE | — | 1386906162 |
| MRS. NICOLE UFIER | — | 1144582172 |
| MARLENE C MORROW | M.A. | 1285997015 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.