Individual
MRS. AURA LEE FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
1318 60TH ST, BROOKLYN, NY 11219-5018
(718) 686-5911
Mailing address
54 HEATHERDELL RD, ARDSLEY, NY 10502-1520
(914) 426-7330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
401281
NY
174400000X
Specialist
Primary
401281
NY
Other
Enumeration date
03/23/2016
Last updated
08/27/2019
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