Individual
LORI FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 5TH AVE, BROOKLYN, NY 11217-2025
(347) 436-7120
Mailing address
2791 COURT ST, NORTH BELLMORE, NY 11710-2853
(516) 221-0696
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004152-1
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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