Provider Demographics
NPI:1114201829
Name:FORBES, DARLYS A (RN)
Entity Type:Individual
Prefix:MRS
First Name:DARLYS
Middle Name:A
Last Name:FORBES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:MEXICO
Mailing Address - State:NY
Mailing Address - Zip Code:13114-3484
Mailing Address - Country:US
Mailing Address - Phone:315-963-8861
Mailing Address - Fax:
Practice Address - Street 1:1638 COUNTY ROUTE 45
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-4444
Practice Address - Country:US
Practice Address - Phone:315-963-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4624731163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY156002290Medicaid