Individual
CORDELL JOSEPH FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1728 SUNRISE HWY, MERRICK, NY 11566-3745
(516) 279-3352
Mailing address
18 MAPLE DR, LINDENHURST, NY 11757-1308
(516) 302-5930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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