Individual
CRISTINA FONALLEDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8400
Mailing address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(317) 268-4006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341901
NY
Other
Enumeration date
02/15/2019
Last updated
09/27/2022
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