Individual provider · Type 1 NPI

Matthew Fortunato, PA-C

Medical Physician Assistant · Brooklyn, NY

NPI number 1710462767 Active

Practice location

121 Dekalb Ave
Brooklyn, NY 11201-5493

Mailing address

102 Frost St
Brooklyn, NY 11211-2304

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X022654 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1710462767

Matthew Fortunato, PA-C's National Provider Identifier is 1710462767, issued on Sep 26, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 26, 2018.