Individual
JOSE FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 S BROADWAY STE 10, YONKERS, NY 10705-2371
(914) 751-3900
Mailing address
220 YONKERS AVE APT 5M, YONKERS, NY 10701-6246
(914) 299-3605
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
06/16/2018
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