MODESTO FONTANEZ

RONKONKOMA, NY
NPI1851395826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: NY  181810-4)
Additional Taxonomies207T00000X Neurological Surgery
(Licence: OH  35083857)
Enumeration Date2005-06-08
Last Update Date2012-01-04
Business Address
Dr. MODESTO FONTANEZ M.D.
2805 VETERANS MEMORIAL HWY SUITE 8
RONKONKOMA, NY 11779-7647
Phone number: 631-738-8300
Mailing Address
Dr. MODESTO FONTANEZ M.D.
2805 VETERANS MEMORIAL HWY SUITE 8
RONKONKOMA, NY 11779-7647
Phone number: 631-738-8300