National Provider Identifier
Diane H Fortman, DPM
Diane H Fortman, DPM is listed in the NPPES registry with a primary specialty of Podiatrist in Kenmore, NY and a listed phone number of (716) 875-7878.
Profile Overview
- NPI
- 1487784880
- Provider Type
- Individual
- Primary Specialty
- Podiatrist
- Enumeration Date
- March 06, 2007
- Last Updated
- December 31, 2008
Practice Location
- 2448 Elmwood Ave
- Kenmore, NY 14217-2244
Phone: (716) 875-7878
Specialties
- Podiatrist (213E00000X)
Full Record
- NPI
- 1487784880
- Entity Type
- Individual
- Last Name
- Fortman
- First Name
- Diane
- Middle Name
- H
- Credential
- DPM
- Mailing Street Address
- 2448 Elmwood Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2244
- Mailing Country
- US
- Mailing Phone
- (716) 875-7878
- Mailing Fax
- (716) 875-1240
- Practice Street Address
- 2448 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2244
- Practice Country
- US
- Practice Phone
- (716) 875-7878
- Practice Fax
- (716) 875-1240
- Enumeration Date
- March 06, 2007
- Last Updated
- December 31, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Podiatrist (213E00000X)
- Other Identifiers
- 00010252801 (NY, Univera), 8906817 (NY, Iha), 0094789 (Ghi), 161262434 (United), 00897347 (NY), 396558 (NY, Wellcare), 000500702001 (BCBS)