Organization
LILA HOLISTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORI FORTUNATO DAOM LIC. AC LMT (OWNER)
(631) 500-5452
Entity
Organization
Contact information
Practice address
2228 MONTAUK HWY, BRIDGEHAMPTON, NY 11932-4001
(631) 500-5452
Mailing address
418 BROADWAY # 8839, ALBANY, NY 12207-2922
(631) 500-5452
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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