Provider Demographics
NPI:1942597083
Name:FOREST, STEPHEN JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:JOHN
Last Name:FOREST
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3400 BAINBRIDGE AVE
Mailing Address - Street 2:MAP 5
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2404
Mailing Address - Country:US
Mailing Address - Phone:718-920-5790
Mailing Address - Fax:718-881-5074
Practice Address - Street 1:3400 BAINBRIDGE AVE
Practice Address - Street 2:MAP 5
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2404
Practice Address - Country:US
Practice Address - Phone:718-920-5790
Practice Address - Fax:718-881-5074
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2016-07-07
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Provider Licenses
StateLicense IDTaxonomies
NY275888208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)