Individual
DR. SANDRA L. FOREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 E 41ST ST, NEW YORK, NY 10017-6739
(212) 263-7744
(212) 263-7721
Mailing address
222 E 41ST ST, NEW YORK, NY 10017-6739
(212) 263-7744
(212) 263-7721
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
142499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M0091
ACS/HEALTHNET
NY
01
—
125234
AETNA-US HEALTHCARE
NY
01
—
133271331
VYTRA
NY
01
—
133271331
UNITED HEALTHCARE
—
01
—
133936687
UPN ELITE
NY
01
—
142499
HIP
NY
01
—
25860
VYTRA
NY
01
—
39D04100
BLUE CROSS & BLUE SHIELD
NY
01
—
5524435
CIGNA
NY
Enumeration date
08/10/2005
Last updated
03/31/2021
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