HANTZ BLAKE FONTAINE

NEW YORK, NY
NPI1801127774
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  013716)
Enumeration Date2010-01-16
Last Update Date2010-01-16
Business Address
Mr. HANTZ BLAKE FONTAINE RPA-C
1 GUSTAVE L LEVY PL DEPARTMENT OF SURGERY- MT. SINAI MEDICAL CENTER
NEW YORK, NY 10029-6574
Phone number: 917-829-0961
Mailing Address
Mr. HANTZ BLAKE FONTAINE RPA-C
1302 AVENUE K APT 1H
BROOKLYN, NY 11230-4354
Phone number: 917-829-0961
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