Provider Demographics
NPI:1386122257
Name:FORSH, CATHERINE LAJOIE (NP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LAJOIE
Last Name:FORSH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:LAJOIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1111 AMSTERDAM AVE FL 10
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1716
Mailing Address - Country:US
Mailing Address - Phone:212-659-8552
Mailing Address - Fax:212-523-7124
Practice Address - Street 1:1111 AMSTERDAM AVE FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1716
Practice Address - Country:US
Practice Address - Phone:212-659-8552
Practice Address - Fax:212-523-7124
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF342403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily