Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TUV0032591 | NY |
NPI | 1003965427 |
---|---|
Provider Name | Dr. Lawrence Steven Forgacs |
First Address | New York, NY 10017-1128 |
Second Address | New York, NY 10017-1128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 21/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T23227 | (02) |