Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005510 | NY |
NPI | 1245335108 |
---|---|
Provider Name | Dr. Idit R Forkosh |
First Address | Brooklyn, NY 11210-5237 |
Second Address | Brooklyn, NY 11210-5237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02039710 | (05) | NY |
030005510NY01 | ANTHEM (01) | NY |
163211 | ELDERPLAN (01) | NY |
1892417 | FIRST HEALTH PINS (01) | NY |
4C1212 | HEALTHNET (01) | NY |
5425584 | BCE EMERGIS (UP &UP) (01) | NY |
6299196 | GHI (01) | NY |
79347 | (02) | NY |
FI5510 | ATLANTIS (01) | |
HIP | N005510 (01) | NY |
N005510 | 1199 PCS (01) | NY |
N005510 | CAREPLUS (01) | NY |
N005510 | HEALTHFIRST (01) | NY |
N005510 | HORIZON HEALTHCARE (01) | NY |
N005510 | MAGNACARE (01) | NY |
P05510-4W | WORKER'S COMP (01) | NY |
P2171265 | OXFORD (01) | NY |
PB5341 | BLUE CHOICE (01) | NY |