Individual
MR. CARTER FUENTEBAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. P.T.
Contact information
Practice address
2390 MCDONALD AVE, BROOKLYN, NY 11223-4740
(718) 449-1005
(718) 449-1131
Mailing address
5516 4TH AVE, APT 2L, BROOKLYN, NY 11220-3035
(347) 309-3950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
034994
NY
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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