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

Forest Medical Group, PLLC

Organization Internal Medicine Physician · NPI 1215975289

Forest Medical Group, PLLC is an Internal Medicine Physician in Williamsville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1360 N Forest Rd Ste 3
Williamsville, NY 14221-1200
Phone: (716) 689-4800
Fax: (716) 689-4816
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 188929-1 (NY)

Record details

NPI number1215975289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Divencenzo — Physician , Owner · (716) 689-4800
NPI enumeratedJune 3, 2006
Last updated in NPPESNovember 5, 2007
Mailing address1360 N Forest Rd, Suite 3, Williamsville, NY 14221-1200

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