Healthcare Provider Details

I. General information

NPI: 1861824930
Provider Name (Legal Business Name): TONYA MARIE FORSHIER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 07/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CARLTON DR
PARISH NY
13131-3308
US

IV. Provider business mailing address

61 DELANO ST
PULASKI NY
13142-1400
US

V. Phone/Fax

Practice location:
  • Phone: 315-625-4388
  • Fax: 315-625-4535
Mailing address:
  • Phone: 315-298-6564
  • Fax: 315-298-7831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number338069
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: