Individual
JOEL B FONTANAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 758-5700
Mailing address
601 ELMWOOD AVE BOX 629, ROCHESTER, NY 14642-0001
(585) 723-9100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
324175
NY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
300017
NY
Other
Enumeration date
04/12/2013
Last updated
06/30/2023
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