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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