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Individual

FORREST LOYD ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
206 CORNELIA ST, PLATTSBURGH, NY 12901-2878
(518) 314-3560
Mailing address
622 W 168TH ST PH 11, NEW YORK, NY 10032-3720
(122) 305-2500

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
321571
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A174992
CA

Other

Enumeration date
03/21/2017
Last updated
06/06/2025
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