Individual provider · Type 1 NPI

Mark Fortygin, CRNA

Certified Registered Nurse Anesthetist · Rochester, NY

NPI number 1770154841 Active

Practice location

601 Elmwood Ave.
Rochester, NY 14642-0001

Fax (585) 244-7271

Mailing address

601 Elmwood Ave Box 604
Rochester, NY 14642-0001

Other practice locations

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 · (704) 355-2000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X324440 (NC)
Registered Nurse 163W00000X734592 (NY)
Certified Registered Nurse Anesthetist Primary 367500000X144048 (NY)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1770154841

Mark Fortygin, CRNA's National Provider Identifier is 1770154841, issued on Jul 8, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Rochester, NY. The record was last updated on Jun 23, 2023.