Individual
MRS. MELANIA ELOISA FONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.,CDE
Contact information
Practice address
4 BROAD ST, NEWBURGH, NY 12550-3668
(845) 787-4249
(845) 787-4249
Mailing address
4 BROAD ST, NEWBURGH, NY 12550-3668
(845) 787-4249
(845) 787-4249
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
357727-1
NY
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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