Organization · Type 2 NPI
Everett Forman PC
General Practice Physician · Latham, NY
NPI number
1144402983
Active
Practice location
585 Troy Schenectady Rd
Latham, NY 12110-2811
Fax (518) 785-1702
Mailing address
47 Sweet Rd
Ballston Lake, NY 12019-1805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Latham
About NPI 1144402983
Everett Forman PC's National Provider Identifier is 1144402983, issued on Dec 4, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Latham, NY. The record was last updated on Dec 19, 2007.