Forlivio, Johanna M
Forlivio, Johanna M is an individual health care provider with primary practice located at 159 Barnegat Rd , Poughkeepsie NY 12601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Forlivio, Johanna M can be contacted via phone (845) 452-9800.Contact Information
Primary practice address
159 Barnegat Rd
Poughkeepsie NY 12601
Phone: (845) 452-9800
Fax: (845) 452-7691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 011693 | New York |
Profile Details
| NPI number | 1780715979 |
|---|---|
| LBN Legal business name | Forlivio, Johanna M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 24th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780715979 | NPPES |
| New York | MEDICAID | 02959171 |
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