Individual
BRIAN ROBERT FONDONELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 1ST ST, NEW ROCHELLE, NY 10801-6118
(631) 687-0330
Mailing address
53 1ST ST, NEW ROCHELLE, NY 10801-6118
(631) 687-0330
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
469
NY
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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