Individual
ANDREW W FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 W 57TH ST STE 501, NEW YORK, NY 10107-0500
(212) 582-1566
(212) 586-1272
Mailing address
250 W 57TH ST STE 501, NEW YORK, NY 10107-0500
(212) 582-1566
(212) 586-1272
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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