Provider Demographics
NPI:1821187675
Name:FORTE, ANN M (DC)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:M
Last Name:FORTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1176 WILLIS AVENUE
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1229
Mailing Address - Country:US
Mailing Address - Phone:516-742-0088
Mailing Address - Fax:516-742-0234
Practice Address - Street 1:1176 WILLIS AVENUE
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1229
Practice Address - Country:US
Practice Address - Phone:516-742-0088
Practice Address - Fax:516-742-0234
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0054001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX30001Medicare UPIN