Organization
FORTEH WELLNESS CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENTINE E MILLER ANP-C (ADULT NURSE PRACTITIONER)
(617) 838-5375
Entity
Organization
Contact information
Practice address
1499 KEYES AVE, NISKAYUNA, NY 12309
(617) 838-5375
Mailing address
228 PARK AVE S PMB 437536, NEW YORK, NY 10003
(617) 838-5375
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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