National Provider Identifier
Mark Fortygin, CRNA
Mark Fortygin, CRNA is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Rochester, NY and a listed phone number of (585) 275-1385.
Profile Overview
- NPI
- 1770154841
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- July 08, 2021
- Last Updated
- June 23, 2023
Practice Location
- 601 Elmwood Ave.
- Rochester, NY 14642-0001
Phone: (585) 275-1385
Mailing Address
- 601 Elmwood Ave Box 604
- Rochester, NY 14642-0001
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1770154841
- Entity Type
- Individual
- Last Name
- Fortygin
- First Name
- Mark
- Name Prefix
- Dr.
- Credential
- CRNA
- Mailing Street Address
- 601 Elmwood Ave Box 604
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-1385
- Practice Street Address
- 601 Elmwood Ave.
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-1385
- Practice Fax
- (585) 244-7271
- Enumeration Date
- July 08, 2021
- Last Updated
- June 23, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 23, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X), Registered Nurse (163W00000X)