Fortuna, Amanda Sue

Fortuna, Amanda Sue is an individual health care provider with primary practice located at 750 E Adams St Rm N2104A Physical Medicine And Rehabilitation, Syracuse NY 13210-2342. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fortuna, Amanda Sue can be contacted via phone (315) 464-2302.

Contact Information

Primary practice address
750 E Adams St Rm N2104A Physical Medicine And Rehabilitation Syracuse NY 13210-2342
Phone: (315) 464-2302
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 014222 New York

Profile Details

NPI number 1740241678
LBN Legal business name Fortuna, Amanda Sue
Credentials OT RL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated May 27th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740241678 NPPES
North Carolina MEDICAID 7301794
North Carolina Other 1382J

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