Individual
JODI M FORWAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 562-7900
(518) 562-7933
Mailing address
PO BOX 2868, PLATTSBURGH, NY 12901-0259
(518) 562-7900
(518) 562-7933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21863001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02242657
—
NY
Enumeration date
01/15/2007
Last updated
07/08/2007
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