Individual
MEGAN R FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20 PARKVIEW CIR, BETHPAGE, NY 11714-2310
(516) 369-6688
Mailing address
20 PARKVIEW CIR, BETHPAGE, NY 11714-2310
(516) 369-6688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023301
NY
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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