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

MS. Maimoonah Khadijan Forde

Individual provider Specialist · NPI 1720461270

MS. Maimoonah Khadijan Forde is a Specialist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

1492 Bedford Ave #2B
Brooklyn, NY 11216-3884
Phone: (718) 857-4740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1792876 (NY)

Record details

NPI number1720461270
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 1, 2015
Last updated in NPPESJuly 1, 2015

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