Keith Richard Forlenza, PA-C
NPI #1003242165 in Whitestone, New York
Provider Information
- NPI Number
- 1003242165
- Entity Type
- Individual
- Name
- Keith Richard Forlenza, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 20, 2013
- Last Updated
- Sep 14, 2022
Practice Location
- Address
- 154-23 25TH AVE.
- City
- Whitestone
- State
- New York
- ZIP Code
- 11357
- Phone
- (917) 974-2089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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