Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 54753 | NY |
N | 1223X0400X | Orthodontists | NH3254 | NH |
NPI | 1033121223 |
---|---|
Provider Name | Dr. Darren Forcier |
First Address | Depew, NY 14043-4468 |
Second Address | Depew, NY 14043-4468 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 16/07/2010 |