Provider Demographics
NPI:1487946299
Name:FORBES, SUZAN JANET (LPN)
Entity type:Individual
Prefix:
First Name:SUZAN
Middle Name:JANET
Last Name:FORBES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 BARNES AVE
Mailing Address - Street 2:2F
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-8576
Mailing Address - Country:US
Mailing Address - Phone:347-483-7737
Mailing Address - Fax:
Practice Address - Street 1:3008 BARNES AVE
Practice Address - Street 2:2F
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-8576
Practice Address - Country:US
Practice Address - Phone:347-483-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300072164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse