GLORIA MCCANN FORTUNE

PORT JEFFERSON, NY
NPI1952447005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  400369)
Enumeration Date2007-01-29
Last Update Date2015-04-30
Business Address
-- GLORIA MCCANN FORTUNE NP
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
Mailing Address
-- GLORIA MCCANN FORTUNE NP
625 BELLE TERRE RD SUITE 100
PORT JEFFERSON, NY 11777-2316
Phone number: 631-473-1320
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