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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERILYN FORTSCH, P.T.

Active Sole Proprietor

JERILYN FORTSCH, P.T. is a Specialist healthcare provider located in EAST NORTHPORT, New York. NPI 1336451483 is currently active in the NPPES registry. Verify at CMS.

Specialist · EAST NORTHPORT, NY

Registration Details

NPI Number
1336451483
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2010 (15.922556419999 yrs)
Last Updated
Jul 6, 2010
License
012147-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
105 CATHERINE ST
EAST NORTHPORT, NY, 117311001
Browse NY providers · Browse ZIP 11731
Phone
6316811101
Primary Specialty
Specialist
174400000X

Other Specialist Providers in EAST NORTHPORT, NY

Name Credential NPI
DR. AUGUSTO S. DA SILVA M.D. 1225103906
MISS CATHERINE A MCMANUS SPECIAL ED. PROVIDER 1437204526
MRS. JANIS ANN MAGUIREMS MS ED 1437290293
DEBORAH A HUNTSMAN 1013043504
DONNA LEE MESCHKOW LMT 1669592721
CARRIE L. FISCHETTI M.S. ED. 1851541437
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.