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Organization
SCOTT FORMAN, MD PC
Active
Organization
SCOTT FORMAN, MD PC
Active
Parent organization
SCOTT
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOTT
Authorized official
VERONICA CRUZ (OFFICE MANAGER)
(914) 277-5550
Entity
Organization
Contact information
Practice address
380 ROUTE 202, SOMERS, NY 10589-3222
(914) 277-5550
(914) 277-5735
Mailing address
380 ROUTE 202, SOMERS, NY 10589-3222
(914) 277-5550
(914) 277-5735
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
155754-1
NY
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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