Individual
SAMANTHA FORTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 RIVERLEIGH AVE, RIVERHEAD, NY 11901-3674
(631) 382-7311
Mailing address
2 PIEDMONT CT, CENTEREACH, NY 11720-4377
(631) 457-9499
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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