Individual
DR. GERARDO FONTAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
41-51 EAST 11TH STREET, 4TH FLOOR, NEW YORK, NY 10003
(347) 541-5256
Mailing address
PO BOX 1336, NEW YORK, NY 10113-1336
(917) 470-2526
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
019345
NY
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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