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Individual

DR. JOSE RIZAL B. FONACIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
230 HILTON AVE, SUITE 107, HEMPSTEAD, NY 11550-8115
(516) 742-4442
(516) 505-0768
Mailing address
42 ELM ST, GREAT NECK, NY 11021-1942
(516) 829-6298

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
149520
NY

Other

Enumeration date
10/15/2006
Last updated
07/08/2007
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