Dr LAURIE M FORMAN is a female medical professional, specializing in Clinical Social Worker. She graduated in 1984.
2631 MERRICK RD
SUITE 205
BELLMORE
NY
117105784
Tel: 5166796673
| Npi | 1962508291 |
| Pac Id | 7214038769 |
| Professional Enrollment Id | I20070727000239 |
| Last Name | FORMAN |
| First Name | LAURIE |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1984 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 2631 MERRICK RD |
| Line 2 Street Address | SUITE 205 |
| Marker Of Address Line 2 Suppression | |
| City | BELLMORE |
| State | NY |
| Zip Code | 117105784 |
| Phone Number | 5166796673 |
| Hospital Affiliation Ccn 1 | |
| Hospital Affiliation Lbn 1 | |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.