| Doctor Name: | ZACHARY FORBES |
| NPI Number: | 1619364080 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 29771 |
| Business Practice Address: | 3042 Ny Highway 43 Averill Park, NY - 120182529 |
| Business Phone Number: | 3157177307 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1034, AVERILL PARK |
| State: | NY |
| Postal Code: | 120181034 |
| Phone Number: | 3157177307 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2015 |
| NPI Last Update Date: | 04/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 29771 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |