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Megan R Fortunato, LMT

Massage Therapist in Bethpage, NY. Individual provider (NPI-1).

NPI number1164037412
StatusActive
Last updated in NPPESSep 14, 2020

Details

NPI
1164037412
Entity type
Individual (NPI-1)
Name
Megan R Fortunato
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 14, 2020
Certification date
Sep 14, 2020
Last updated
Sep 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist023301NYYes

Practice location

20 Parkview Cir
Bethpage, NY 11714-2310

Phone 516-369-6688

Mailing address

20 Parkview Cir
Bethpage, NY 11714-2310

Phone 516-369-6688

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