Forman, Marjorie

Forman, Marjorie is an sole proprietor health care provider with primary practice located at 150 E 39Th St Suite 808, New York NY 10016-0933. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychoanalyst. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Forman, Marjorie can be contacted via phone (212) 779-0462.

Contact Information

Primary practice address
150 E 39Th St Suite 808 New York NY 10016-0933
Phone: (212) 779-0462
Fax: (631) 287-6346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R021152 New York
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 000232-1 New York

Profile Details

NPI number 1790865301
LBN Legal business name Forman, Marjorie
Credentials LCSW LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers