Individual
SUSAN FONDY
Active
Individual
SUSAN FONDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
209486
NY
2083A0100X
Aerospace Medicine Physician
Primary
209486
NY
2083X0100X
Occupational Medicine Physician
209486
NY
Other
Enumeration date
12/14/2005
Last updated
04/13/2022
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