person
Johanna M Forlivio, PA
Medical Physician Assistant in Poughkeepsie, New York
NPI 1780715979

Johanna M Forlivio is a Medical Physician Assistant based in Brewster, NY and is specialized in Medical. Johanna M Forlivio practices in Poughkeepsie, NY and has the professional credentials of PA. The NPI Number for Johanna M Forlivio is 1780715979 and holds a License No. 011693 (New York).

The current practice location address for Johanna M Forlivio is 159 Barnegat Rd, Poughkeepsie, NY and can be reached out via phone at 845-452-9800 and via fax at 845-452-7691. You can also correspond with Johanna M Forlivio through the mailing address at 111 CLOCK TOWER CMNS, BREWSTER, NY - 10509-4055 (mailing address contact number: 845-592-4915).

Location: 159 Barnegat Rd, Poughkeepsie, NY, 10509-4055
person
Provider Profile Details
NPI Number
1780715979
Provider Name
Johanna M Forlivio
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
159 Barnegat Rd, Poughkeepsie, NY, 10509-4055
Phone Number
845-452-9800
Fax Number
845-452-7691
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02959171 05 NY
institution
Provider Business Practice Location Address Details
Address
159 Barnegat Rd
City
State
Zip
12601
Phone Number
845-452-9800
Fax Number
845-452-7691
person
Provider Business Mailing Address Details
Address
159 Barnegat Rd
City
State
Zip
12601
Phone Number
845-452-9800
Fax Number
845-452-7691
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
011693 (New York)
Definition
Definition to come...
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