Individual
CHAD WILLIAM FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
1014 BOYD ST, WATERTOWN, NY 13601-3525
(313) 783-7546
Mailing address
1014 BOYD ST, WATERTOWN, NY 13601-3525
(313) 783-7546
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
289567-1
NY
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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