Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 218616 | NY |
Y | 208600000X | Surgeon | 218616 | NY |
NPI | 1003826066 |
---|---|
Provider Name | Dr. Lael E Forbes |
First Address | Rochester, NY 14620-2733 |
Second Address | Rochester, NY 14620-2733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 28/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02239081 | (05) | NY |
H43252 | (02) |