Individual
PAUL R FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 S MANNING BLVD, @ ST. PETER'S HOSPITAL ER DEPT, ALBANY, NY 12208-1707
(518) 525-1324
(518) 383-4223
Mailing address
121 DEVON RD, DELMAR, NY 12054-4430
(518) 439-2614
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
149736-1
NY
207R00000X
Internal Medicine Physician
149736-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00771357
—
NY
Enumeration date
06/30/2006
Last updated
01/06/2009
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