Individual
FABIOLA ZOXIE FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
647 ALBANY AVE APT 6P, BROOKLYN, NY 11203-1767
(347) 303-7307
Mailing address
647 ALBANY AVE APT 6P, BROOKLYN, NY 11203-1767
(347) 303-7307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030834
NY
Other
Enumeration date
11/19/2021
Last updated
11/16/2023
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