| Forge Medical Group, Llc | |
| 
					1750 Elm St Ste 103 Manchester NH 03104-2919  | |
| (914) 435-7600 | |
| (201) 565-2833 | 
| Full Name | Forge Medical Group, Llc | 
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 1750 Elm St Ste 103, Manchester, New Hampshire | 
| Authorized Official Name and Position | Daniel Lenzo (VICE PRESIDENT) | 
| Authorized Official Contact | 6467096883 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Forge Medical Group, Llc 10 Bank St Ste 830 White Plains NY 10606-1952 Ph: () -  | Forge Medical Group, Llc 1750 Elm St Ste 103 Manchester NH 03104-2919 Ph: (914) 435-7600  | 
| NPI Number | 1164230587 | 
|---|---|
| Provider Enumeration Date | 12/19/2024 | 
| Last Update Date | 12/20/2024 | 
| Certification Date | 12/20/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164230587 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary | 
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Optimal Behavioral Health Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 835 Hanover St Ste 305, Manchester, NH 03104 Phone: 603-784-9012 Fax: 603-784-9012  | |
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