Individual
ERIC DANIEL FORNARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 BAINBRIDGE AVE, 6TH FLOOR, BRONX, NY 10467-2404
(718) 920-5532
(718) 920-7799
Mailing address
3400 BAINBRIDGE AVE, 6TH FLOOR, BRONX, NY 10467-2404
(718) 920-5532
(718) 920-7799
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
AN-1992975-G-119
MA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
266292
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
A115081
CA
Other
Enumeration date
04/09/2007
Last updated
12/21/2012
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