Individual
KED FORTUZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CENTEROCK RD, WEST NYACK, NY 10994-2215
(845) 703-6999
(845) 703-6297
Mailing address
PO BOX 411730, BOSTON, MA 02241-1730
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
334942
NY
Other
Enumeration date
06/26/2019
Last updated
07/24/2025
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