Individual
DR. WILLIAM FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 OLD COUNTRY RD, PLAINVIEW, NY 11803-4914
(516) 719-2422
(516) 719-2472
Mailing address
888 OLD COUNTRY RD, PLAINVIEW, NY 11803-4914
(516) 719-2422
(516) 719-2472
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
173899
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
173899
NY
Other
Enumeration date
05/06/2006
Last updated
03/18/2019
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