Fortillus, Marie-Michele

Fortillus, Marie-Michele is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke , East Meadow NY 11554-1859. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Perinatal, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Fortillus, Marie-Michele can be contacted via phone (516) 572-6131.

Contact Information

Primary practice address
2201 Hempstead Tpke East Meadow NY 11554-1859
Phone: (516) 572-6131
Fax: (516) 572-5793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 502964 New York
Physician Assistants & Advanced Practice Nursing Providers / Perinatal 363LP1700X F390054 New York
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F420771 New York

Profile Details

NPI number 1295923738
LBN Legal business name Fortillus, Marie-Michele
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2007
Last updated Oct 10th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295923738 NPPES
New York Other F420771 WOMEN'S HEALTH NP LICENSE

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