Individual provider · Type 1 NPI

Johanna M. Forlivio, PA

Medical Physician Assistant · Poughkeepsie, NY

NPI number 1780715979 Active

Practice location

159 Barnegat Rd
Poughkeepsie, NY 12601

Call (845) 452-9800 Map

Fax (845) 452-7691

Mailing address

111 Clock Tower Cmns
Brewster, NY 10509-4055

Other practice locations

  • 45 Reade Pl, Poughkeepsie, NY 12601-3947 · (845) 483-6559

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X011693 (NY)

Medical Physician Assistant: Definition to come...

11 other providers at this address

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About NPI 1780715979

Johanna M. Forlivio, PA's National Provider Identifier is 1780715979, issued on Mar 8, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Poughkeepsie, NY. The record was last updated on Jul 24, 2018.