Provider Demographics
NPI:1235582990
Name:FORTE-BHOORASINGH, ALANNA ELIZABETH (CRNA)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:ELIZABETH
Last Name:FORTE-BHOORASINGH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ALANNA
Other - Middle Name:ELIZABETH
Other - Last Name:FORTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:44 ROUTE 25A
Mailing Address - Street 2:UNIT 415
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1400
Mailing Address - Country:US
Mailing Address - Phone:646-670-3665
Mailing Address - Fax:
Practice Address - Street 1:44 ROUTE 25A
Practice Address - Street 2:UNIT 415
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1400
Practice Address - Country:US
Practice Address - Phone:646-670-3665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-18
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY591044367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered