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1396881934
LUIS EDGARDO FONTANEZ
BRONX, NY
NPI
1396881934
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Professional Name
LUIS EDGARDO FONTANEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 042654)
Enumeration Date
2007-01-30
Last Update Date
2011-07-13
Business Address
Mr. LUIS EDGARDO FONTANEZ
3424 KOSSUTH AVENUE NORTH CENTRAL BRONX HOSPITAL
BRONX, NY 10467
Phone number: 718-519-3345
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Mailing Address
Mr. LUIS EDGARDO FONTANEZ
2440 BOSTON RD APT 4B
BRONX, NY 10467-9042
Phone number: 646-667-2482
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