Forletti, Damian

Forletti, Damian is an individual health care provider with primary practice located at 815 Hallock Ave Suite A, Port Jefferson Station NY 11776-1244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Forletti, Damian can be contacted via phone (631) 331-7267.

Contact Information

Primary practice address
815 Hallock Ave Suite A Port Jefferson Station NY 11776-1244
Phone: (631) 331-7267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 164113 New York

Profile Details

NPI number 1689640690
LBN Legal business name Forletti, Damian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Sep 19th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689640690 NPPES
New York Other 877643 AETNA HMO ID
New York Other OC9245 AETNA HMO ID
New York Other 164113 AETNA HMO ID
New York Other CP103 AETNA HMO ID
New York Other 2787 AETNA HMO ID
New York Other 4061141 AETNA HMO ID
New York Other 2600579 AETNA HMO ID
New York Other 1807144003 AETNA HMO ID
New York Other 5B780 AETNA HMO ID
New York Other 000000059056 AETNA HMO ID
New York MEDICAID 01082773 AETNA HMO ID
New York Other O85640 AETNA HMO ID

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