Healthcare Provider Details

I. General information

NPI: 1700405958
Provider Name (Legal Business Name): SARAH LOUISE FORGY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 WEST ST APT 7G
BROOKLYN NY
11222-6276
US

IV. Provider business mailing address

26 WEST ST APT 7G
BROOKLYN NY
11222-6276
US

V. Phone/Fax

Practice location:
  • Phone: 626-864-2820
  • Fax:
Mailing address:
  • Phone: 626-864-2820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number063429
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: