Kimberly H Fortin Clinical Social Worker
2693 E Brutus St, Weedsport, NY 13166

Kimberly H Fortin is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1215046123. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5496892259. The primary specialty is CLINICAL SOCIAL WORKER. The address is 2693 E Brutus St, Weedsport, NY 13166. The zip code is 13166.

Kimberly H Fortin · 2693 E Brutus St, Weedsport, NY 13166

Nation Provider ID 1215046123
PAC ID by PECOS 5496892259
Professional Enrollment ID I20091027000670
Last Name FORTIN
Middle Name H
Gender F
Medical School Name OTHER
Graduation Year 2004
Phone Number 3158342014
Address 2693 E BRUTUS ST
Professional accepts Medicare Assignment Y

street_number: 2693
route: East Brutus Street (E Brutus St)
locality, political: Weedsport
admin_level_3, political: Brutus
admin_level_2, political: Cayuga County
admin_level_1, political: New York (NY)
country, political: United States (US)
postal_code: 13166
types : street_address
latitude: 43.048926
longitude: -76.562421
latlng: (43.048926, -76.562421)

Zip 13166 · Medicare Physician

Name Address Specialty
Alan Cooper 2645 Erie Dr, Weedsport, NY 13166-3203 CHIROPRACTIC

Weedsport · Medicare Physician

Name Address Specialty
Alan Cooper 2645 Erie Dr, Weedsport, NY 13166-3203 CHIROPRACTIC

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