Forsberg, Daniel Glenn

Forsberg, Daniel Glenn is an individual health care provider with primary practice located at 1044 Northern Blvd Suite 302, Roslyn NY 11576-1514. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Forsberg, Daniel Glenn can be contacted via phone (516) 621-1313.

Contact Information

Primary practice address
1044 Northern Blvd Suite 302 Roslyn NY 11576-1514
Phone: (516) 621-1313
Fax: (516) 621-0116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003030 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003030 New York

Profile Details

NPI number 1770672701
LBN Legal business name Forsberg, Daniel Glenn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Apr 24th, 2019 - 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.

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