Individual
MR. RONALD SAMUEL FORLENZA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4250 HEMPSTEAD TPKE, 23, BETHPAGE, NY 11714
(516) 735-3133
(516) 735-1056
Mailing address
4250 HEMPSTEAD TPKE, 23, BETHPAGE, NY 11714
(516) 735-3133
(516) 735-1056
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
112104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00941479
—
NY
Enumeration date
03/16/2006
Last updated
07/08/2007
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