Individual
MRS. BARBARA ELLEN FONTANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590-5156
(516) 747-9030
Mailing address
15 HASTINGS DR, MERRICK, NY 11566-1442
(516) 728-2824
(516) 826-2837
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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