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Individual

MS. BARBARA J FORTUNATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MS, NPP

Contact information

Practice address
2-8 HAWLEY ST., BERKSHIRE FARM CENTER FOR YOUTH, BINGHAMTON, NY 13901-3114
(607) 595-1404
(607) 772-2964
Mailing address
55 HIGHLAND RD, BINGHAMTON, NY 13901-1210
(607) 595-1404
(607) 772-2964

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400767
NY

Other

Enumeration date
10/23/2006
Last updated
04/17/2015
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