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Individual

DR. ANNE MARIE FATONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1160 5TH AVE, SUITE 112, NEW YORK, NY 10029-6928
(212) 427-9163
Mailing address
444 E 86TH ST, APT. 27E, NEW YORK, NY 10028-6458
(212) 249-2703

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015305
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P2878118
OXFORD PROVIDER
NY
Enumeration date
02/05/2006
Last updated
07/08/2007
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