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Individual

GEORGE P FORREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
326 S PEARL ST, ALBANY, NY 12202-1914
(518) 449-0100
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
140796
NY
208100000X
Physical Medicine & Rehabilitation Physician
140796-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00900330
NY
Enumeration date
08/16/2005
Last updated
02/21/2020
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