MINDY FORTGANG

HUNTINGTON STATION, NY
NPI1992050710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Enumeration Date2012-07-18
Last Update Date2012-07-18
Business Address
-- MINDY FORTGANG MSed
14 COTTAGE CT.
HUNTINGTON STATION, NY 11746
Phone number: 631-807-3026
Mailing Address
-- MINDY FORTGANG MSed
14 COTTAGE CT
HUNTINGTON STATION, NY 11746-1105
Phone number:
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