Individual
MR. ROAN EMANUEL FORGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3065 DANIELS RD # 1077, WINTER GARDEN, FL 34787-7002
(646) 591-4970
Mailing address
669 E 237TH ST, BRONX, NY 10466-1409
(646) 591-4970
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
273030
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02907775
—
NY
Enumeration date
11/20/2007
Last updated
03/23/2022
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