Individual
ANNA VICTORIA FORGACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
467 WEST ST, LONG BRANCH, NJ 07740-7723
(732) 796-4228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PENDING
NY
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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