SearchNew York104100000X

Samantha Fortune, LMSW

NPI 1689215089 · on the registry since 2019 · sole proprietor

Practice

Address
11 Route 11
2nd Floor
Smithtown, NY 11787
Phone
(631) 656-9550

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-07

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