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Lisa Fortunato

NPI 1558275933 · on the registry since 2026 · sole proprietor

Practice

Address
184 Slater Blvd
Staten Island, NY 10305
Phone
(347) 924-0301

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York