Forman, Sharon Ivy

Forman, Sharon Ivy is an sole proprietor health care provider with primary practice located at 141 Koehl St , Massapequa Park NY 11762-2215. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Specialist is her primary health care specialty. Forman, Sharon Ivy can be contacted via phone (516) 799-8043.

Contact Information

Primary practice address
141 Koehl St Massapequa Park NY 11762-2215
Phone: (516) 799-8043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1194087882
LBN Legal business name Forman, Sharon Ivy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2012
Last updated Aug 17th, 2018 - 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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