Healthcare Provider Details

I. General information

NPI: 1376453282
Provider Name (Legal Business Name): WILLIAM JOSEPH FORLANO SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WILL JOSEPH FORLANO SLP

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 COMPUTER DR E
ALBANY NY
12205-1112
US

IV. Provider business mailing address

90 ST STEPHENS LN W
GLENVILLE NY
12302-4232
US

V. Phone/Fax

Practice location:
  • Phone: 518-438-4800
  • Fax:
Mailing address:
  • Phone: 518-399-1033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: