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Individual

DR. PASQUALE FONZETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3030 WESTCHESTER AVE, PURCHASE, NY 10577-2574
(914) 607-5830
(914) 607-5831
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 607-5730
(914) 457-1195

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
216708
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02267238
NY
Enumeration date
07/22/2006
Last updated
12/03/2019
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