Forman, Marie Diane

Forman, Marie Diane is an sole proprietor health care provider with primary practice located at 4235 Veteran Dr , Geneseo NY 14454-9442. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Forman, Marie Diane can be contacted via phone (585) 243-4004.

Contact Information

Primary practice address
4235 Veteran Dr Geneseo NY 14454-9442
Phone: (585) 243-4004
Fax: (585) 243-4009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 01035-01 New York

Profile Details

NPI number 1740035294
LBN Legal business name Forman, Marie Diane
Credentials LDO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2024
Last updated Apr 18th, 2024 - about last year

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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