Individual provider · Type 1 NPI
Charles Forsberg, PA
Medical Physician Assistant · New Hyde Park, NY
NPI number
1629196019
Active
Practice location
27005 76th Ave
New Hyde Park, NY 11040-1433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 004774 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1629196019
Charles Forsberg, PA's National Provider Identifier is 1629196019, issued on Mar 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 8, 2007.