MEDICARE: DR. SARAH LOUISE FORGY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0004X	Dental Anesthesiology	063429	NY

General Provider Information

NPI Number	:	1700405958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH LOUISE FORGY DDS

Provider Business Mailing Address
First Line	:	26 WEST ST APT 7G
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-6276
Country	:	US
Telephone Number	:	626-864-2820
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 WEST ST APT 7G
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-6276
Country	:	US
Telephone Number	:	626-864-2820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2020
Last Update Date	:	11/20/2025

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