Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Everett Forman PC

Organization General Practice Physician · NPI 1144402983

Everett Forman PC is a General Practice Physician in Latham, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

585 Troy Schenectady Rd
Latham, NY 12110-2811
Phone: (518) 785-6004
Fax: (518) 785-1702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1144402983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Everett Forman — President · (518) 899-6657
Other names Medi Scene
NPI enumeratedDecember 4, 2007
Last updated in NPPESDecember 19, 2007
Mailing address47 Sweet Rd, Ballston Lake, NY 12019-1805

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