Individual
MURIEL FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHIROPRACTOR
Contact information
Practice address
31 GUY LOMBARDO AVE, FREEPORT, NY 11520-3632
(516) 213-4610
Mailing address
702 JOHN ST, NORTH BALDWIN, NY 11510-1811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012971
NY
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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