Organization
FORME MEDICAL CENTER, INC.
Active
Organization
FORME MEDICAL CENTER, INC.
Active
Other names
Forme Urgent Care and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA CAPPELLI (PRESIDENT)
(914) 723-4900
Entity
Organization
Contact information
Practice address
7-11 S BROADWAY STE 100, WHITE PLAINS, NY 10601-3520
(914) 723-4900
(914) 448-5275
Mailing address
7-11 S BROADWAY STE 100, WHITE PLAINS, NY 10601-3520
(914) 723-4900
(914) 902-9011
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5947200R
NY
261QR0400X
Rehabilitation Clinic/Center
5947200R
NY
284300000X
Special Hospital
5947200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02087823
—
NY
01
—
131056P
HIP HEALTHPLAN PROVIDER
NY
01
—
23901
CIGNA
NY
01
—
5C7019
HEALTH NET PROVIDER
NY
01
—
A2204263
OXFORD PROVIDER
NY
Enumeration date
02/12/2007
Last updated
02/05/2025
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