Fortune, Brett Emerson

Fortune, Brett Emerson is an sole proprietor health care provider with primary practice located at 1305 York Ave Fl 4 , New York NY 10021-5663. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Hepatology is his primary health care specialty. Fortune, Brett Emerson can be contacted via phone (646) 962-5483.

Contact Information

Primary practice address
1305 York Ave Fl 4 New York NY 10021-5663
Fax: (646) 962-0363
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35088963 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 051154 Connecticut
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X 283730 New York

Profile Details

NPI number 1720121585
LBN Legal business name Fortune, Brett Emerson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Nov 28th, 2018 - about 6 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 1720121585 NPPES
Ohio MEDICAID 2729917

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