Individual
DR. CATHERINE RUTH FORMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
8834 KEENEY RD, LE ROY, NY 14482-9305
(585) 768-6969
(585) 768-7679
Mailing address
8834 KEENEY RD, LE ROY, NY 14482-9305
(585) 768-6969
(585) 768-7679
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005334
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AN101864
PREFERRED CARE
NY
Enumeration date
04/14/2006
Last updated
07/08/2007
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