Individual provider · Type 1 NPI

Phillip Forman, DPM

Podiatrist · Staten Island, NY

NPI number 1386627412 Active

Practice location

242 Mason Ave
Staten Island, NY 10305-3408

Fax (718) 226-6178

Mailing address

1 Edgewater St, Suite 723
Staten Island, NY 10305-4900

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000X005142 (NY)

Podiatrist: 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1386627412

Phillip Forman, DPM's National Provider Identifier is 1386627412, issued on Nov 22, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.