Individual
VICKI FONTANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1 HUNT LN, MANHASSET, NY 11030-2642
(516) 267-7410
(516) 267-7404
Mailing address
1 HUNT LN, MANHASSET, NY 11030-2642
(516) 267-7410
(516) 267-7404
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
327006-1
NY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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