Individual
SHARON FORTGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
ATRIA, 36 E 57TH STREET 5TH FL, NEW YORK, NY 10022
(212) 600-2000
Mailing address
351 AMSTERDAM AVE APT 5N, NEW YORK, NY 10024-6918
(203) 215-9961
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
71764-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382824
NY
Other
Enumeration date
06/19/2017
Last updated
01/08/2025
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