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1710462767
MATTHEW FORTUNATO
BROOKLYN, NY
NPI
1710462767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 022654)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
MATTHEW FORTUNATO PA-C
121 DEKALB AVE
BROOKLYN, NY 11201-5493
Phone number: 718-250-8000
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Mailing Address
MATTHEW FORTUNATO PA-C
102 FROST ST
BROOKLYN, NY 11211-2304
Phone number: 631-327-5723
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