Individual
ANTHONY FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180
Mailing address
63 BERESFORD AVE, STATEN ISLAND, NY 10314-4700
(347) 939-2527
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00724700
NJ
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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