Individual
DR. ROBIN NANCY FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
145 W 86TH ST, SUITE 1C, NEW YORK, NY 10024-3406
(212) 721-0729
(212) 721-5917
Mailing address
145 W 86TH ST, SUITE 1C, NEW YORK, NY 10024-3406
(212) 721-0729
(212) 721-5917
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010288-1
NY
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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