Individual
CHRISTOPHER NEIL FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5450
(315) 464-6322
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5450
(315) 464-6322
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
110562
NC
2080P0214X
Pediatric Pulmonology Physician
Primary
263942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03437170
—
NY
Enumeration date
05/28/2008
Last updated
08/31/2012
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