Forman, Edwin N

Forman, Edwin N is an sole proprietor health care provider with primary practice located at 1 Gustave L Levy Pl # 1208 Mount Sinai Pediatric Hematology/Oncology, New York NY 10029-6500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Forman, Edwin N can be contacted via phone (212) 241-7022.

Contact Information

Primary practice address
1 Gustave L Levy Pl # 1208 Mount Sinai Pediatric Hematology/Oncology New York NY 10029-6500
Phone: (212) 241-7022
Fax: (212) 360-6921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 03637 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 252506-1 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 252506 New York

Profile Details

NPI number 1881641108
LBN Legal business name Forman, Edwin N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Jan 5th, 2015 - about 10 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 1881641108 NPPES
Rhode Island MEDICAID 9001948

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