Individual
EDWIN FORTERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800B BROOKRIDGE DR, VALLEY COTTAGE, NY 10989-1855
(845) 570-0078
Mailing address
800B BROOKRIDGE DR APT 97, VALLEY COTTAGE, NY 10989-1894
(845) 570-0078
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
973166-01
NY
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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