Individual
ALISON ANN FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 FROST LN, PEEKSKILL, NY 10566-1904
(914) 539-5523
Mailing address
1114 FROST LN, PEEKSKILL, NY 10566-1904
(914) 539-5523
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1389261
NY
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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