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Sharon Forman

NPI 1194087882 · on the registry since 2012 · sole proprietor

Practice

Address
141 Koehl St
Massapequa Park, NY 11762
Phone
(516) 799-8043

Registry record

Primary taxonomy
174400000X
174400000X
Also registered as
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York