Individual
VINCENT FONDACARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3399 NORTH RD, POUGHKEEPSIE, NY 12601-1350
(845) 575-3000
Mailing address
3399 NORTH RD, POUGHKEEPSIE, NY 12601-1350
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP01035300
NJ
Other
Enumeration date
07/16/2026
Last updated
07/21/2026
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