Individual
DR. PETER WM FORGACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5725
(716) 633-7386
(716) 633-7970
Mailing address
405 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5725
(716) 633-7386
(716) 633-7970
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
117465
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010308501
UNIVERA PROVIDER ID
NY
01
—
00508006001
BLUE CROSS PROVIDER ID
NY
05
—
00630873
—
NY
01
—
08-03548
IHA PROVIDER ID
NY
01
—
117465-5
WORKERS' COMPENSATION ID
NY
01
—
Y019761
CHAMPUS PROVIDER ID
NY
Enumeration date
05/23/2005
Last updated
07/09/2007
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