Individual
MARLENE FORZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
1080 OLD COUNTRY RD UNIT A, RIVERHEAD, NY 11901-2036
(631) 369-7280
(631) 369-7279
Mailing address
PO BOX 406153, ATLANTA, GA 30384-1876
(631) 369-7280
(631) 369-7279
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001826
NY
Other
Enumeration date
06/16/2006
Last updated
01/16/2009
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