JOHANNA M FORLIVIO

POUGHKEEPSIE, NY
NPI1780715979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  011693)
Enumeration Date2007-03-08
Last Update Date2018-07-24
Business Address
JOHANNA M FORLIVIO PA
159 BARNEGAT RD
POUGHKEEPSIE, NY 12601
Phone number: 845-452-9800
Mailing Address
JOHANNA M FORLIVIO PA
111 CLOCK TOWER CMNS
BREWSTER, NY 10509-4055
Phone number: 845-592-4915
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