LUIS EDGARDO FONTANEZ

BRONX, NY
NPI1396881934
Professional NameLUIS EDGARDO FONTANEZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  042654)
Enumeration Date2007-01-30
Last Update Date2011-07-13
Business Address
Mr. LUIS EDGARDO FONTANEZ
3424 KOSSUTH AVENUE NORTH CENTRAL BRONX HOSPITAL
BRONX, NY 10467
Phone number: 718-519-3345
Mailing Address
Mr. LUIS EDGARDO FONTANEZ
2440 BOSTON RD APT 4B
BRONX, NY 10467-9042
Phone number: 646-667-2482
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