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1639116783
CHARLES ANTHONY FONTANA
ELMIRA, NY
NPI
1639116783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 11172-2)
Enumeration Date
2006-05-31
Last Update Date
2007-07-08
Business Address
DR. CHARLES ANTHONY FONTANA PH.D.
200 MADISON AVE
ELMIRA, NY 14901-3218
Phone number: 607-733-5161
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Mailing Address
DR. CHARLES ANTHONY FONTANA PH.D.
8 COBBLES ST E
ELMIRA, NY 14905-2033
Phone number: 607-733-5161
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