Individual
DR. IDIT R FORKOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3600 BEDFORD AVE, BROOKLYN, NY 11210-5237
(718) 758-9150
Mailing address
3600 BEDFORD AVE, BROOKLYN, NY 11210-5237
(718) 758-9150
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005510
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02039710
—
NY
01
—
030005510NY01
ANTHEM
NY
01
—
163211
ELDERPLAN
NY
01
—
1892417
FIRST HEALTH PINS
NY
01
—
4C1212
HEALTHNET
NY
01
—
5425584
BCE EMERGIS (UP &UP)
NY
01
—
6299196
GHI
NY
01
—
FI5510
ATLANTIS
—
01
—
HIP
N005510
NY
01
—
N005510
MAGNACARE
NY
01
—
P05510-4W
WORKER'S COMP
NY
01
—
P2171265
OXFORD
NY
01
—
PB5341
BLUE CHOICE
NY
Enumeration date
09/14/2006
Last updated
07/09/2007
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