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General NPI Number Information
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NPI Number | 1083755920
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Entity Type | Organization
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Legal Business Name | FORME MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 7-11 S BROADWAY STE 100
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City | WHITE PLAINS
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State | NY
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Zip | 10601-3520
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Country | US
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Telephone | 914-723-4900
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Fax | 914-448-5275
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Provider Business Mailing Address
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Address Line | 7-11 S BROADWAY STE 100
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City | WHITE PLAINS
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State | NY
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Zip | 10601-3520
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Country | US
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Telephone | 914-723-4900
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Fax | 914-902-9011
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GINA CAPPELLI
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Credential |
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Telephone | 914-723-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 5947200R
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 5947200R
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 5947200R
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License Number State | NY
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