Provider Demographics
NPI:1063963486
Name:FORENSIC CONSULTANTS, LTD.
Entity type:Organization
Organization Name:FORENSIC CONSULTANTS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-472-1212
Mailing Address - Street 1:2112 ERIE BLVD E STE 200
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1041
Mailing Address - Country:US
Mailing Address - Phone:315-472-1212
Mailing Address - Fax:315-472-1218
Practice Address - Street 1:2112 ERIE BLVD E STE 200
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13224-1041
Practice Address - Country:US
Practice Address - Phone:315-472-1212
Practice Address - Fax:315-472-1218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare