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

Mrs. Sharon Ivy Forman

Individual provider Specialist · NPI 1194087882

Mrs. Sharon Ivy Forman is a Specialist in Massapequa Park, New York. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

141 Koehl St
Massapequa Park, NY 11762-2215
Phone: (516) 799-8043
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1194087882
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2012
Last updated in NPPESAugust 17, 2018

Other providers in Massapequa Park