Individual
MRS. NANCY J FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANPC
Contact information
Practice address
75 LANDING MEADOW RD, OPTI HEALTH CARE, SMITHTOWN, NY 11787
(631) 360-4700
(631) 360-4790
Mailing address
279 BEAVER DRIVE, MASTIC BEACH, NY 11951
(631) 399-4843
(631) 360-4790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F303613
NY
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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