EDWARD FONSECA

ELMHURST, NY
NPI1801675400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  311410)
Enumeration Date2023-09-25
Last Update Date2024-07-12
Business Address
EDWARD FONSECA
4010 FORLEY ST
ELMHURST, NY 11373-1427
Phone number: 718-565-6565
Mailing Address
EDWARD FONSECA
4010 FORLEY ST
ELMHURST, NY 11373-1427
Phone number: 718-565-6565
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