Lisa Dianne Forman
M.D. | Pediatrics | Female
Lisa Dianne Forman, M.D. is a Elmhurst, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Lisa Dianne Forman is
7901 Broadway, Elmhurst Hospital, Room H-116, Elmhurst, New York - 11373-1329. She can be contacted on phone at
718-334-3044 and fax number 718-334-5759.
Lisa Dianne Forman is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa Dianne Forman is
1639101777 which was assigned by NPPES on 07 Jul, 2006 and it was last updated on 27 Oct, 2007.
Lisa Dianne Forman license number is
211282 for Pediatrics (208000000X) in New York.
Lisa Dianne Forman is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lisa Dianne Forman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lisa Dianne Forman |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Lisa Dianne Forman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7901 Broadway, Elmhurst Hospital, Room H-116
Elmhurst, NY, 11373-1329
United States |
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| Phone Number : | 718-334-3044 |
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| Fax Number : | 718-334-5759 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639101777 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2006 |
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| Last Updated On : | 27 Oct, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Dianne Forman are as mentioned. Primary taxonomy code for Lisa Dianne Forman, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 211282 | NY |
| 208000000X | Pediatrics | Yes | 211282 | NY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 79-01 Broadway, H-116
Elmhurst, NY, 11373-1329
United States |
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| Phone Number : | 718-334-3044 |
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| Fax Number : | 718-334-5759 |
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Business Location:
Patients can refer following map for directions to
Lisa Dianne Forman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.