Individual
ADOLFO FORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4045 75TH STREET 2FL, ELMHURST, NY 11373
(718) 505-1531
Mailing address
4150 78TH STREET, APARTMENT 619, ELMHURST, NY 11373-1975
(917) 774-8593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0772921
NY
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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