MRS. SHARON IVY FORMAN
NPI 1194087882
Specialist in Massapequa Park, NY

Active since June 09, 2012
141 KOEHL ST, MASSAPEQUA PARK, NY 11762(516) 799-8043 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Sharon Ivy Forman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHARON IVY FORMAN (NPI 1194087882) is an individual specialist in Massapequa Park, New York and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1194087882
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. SHARON IVY FORMAN
Location Address141 KOEHL STMassapequa Park, NY 11762-2215
Mailing Address141 Koehl StMassapequa Park, NY 11762-2215 · (516) 799-8043
Sole ProprietorYes
Enumeration DateJune 9, 2012
Last NPPES UpdateAugust 17, 2018
NPI 1194087882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
141 KOEHL ST, Massapequa Park, NY 11762

Other Identifiers 1

Other$$$$$$$$$-ANY · Medicare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharon Forman's NPI number?

The NPI number for Sharon Forman is 1194087882. It was assigned to this individual provider in the NPPES registry on June 9, 2012.

Where is Sharon Forman located?

Sharon Forman practices at 141 Koehl St, Massapequa Park, NY 11762. The listed phone number is (516) 799-8043.

What is Sharon Forman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sharon Forman was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.