SearchNew York164W00000X

Gertrude J Fortune

NPI 1538567854 · on the registry since 2014 · sole proprietor

Practice

Address
13730 242nd St
Rosedale Ny
Rosedale, NY 11422
Phone
(917) 744-7264

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York