Healthcare Provider Details

I. General information

NPI: 1003826066
Provider Name (Legal Business Name): LAEL E FORBES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 E 62ND ST OFC 1R
NEW YORK NY
10065-8902
US

IV. Provider business mailing address

9 E 62ND ST OFC 1R
NEW YORK NY
10065-8902
US

V. Phone/Fax

Practice location:
  • Phone: 212-837-8911
  • Fax:
Mailing address:
  • Phone: 917-886-9517
  • Fax: 212-947-3952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number218616
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number218616
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number218616
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: