Individual
DR. MARIA D FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2210 TROY RD, NISKAYUNA, NY 12309-4725
(518) 346-9499
Mailing address
2210 TROY RD, NISKAYUNA, NY 12309-4725
(518) 346-9499
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
168020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01041978
—
NY
Enumeration date
12/06/2006
Last updated
12/17/2007
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