Individual
DR. LUZ S FONACIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 410, MINEOLA, NY 11501-4073
(516) 663-4751
(516) 663-2946
Mailing address
120 MINEOLA BLVD, SUITE 410, MINEOLA, NY 11501-4073
(516) 663-4751
(516) 663-2946
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
NYS164053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01207652
—
NY
Enumeration date
11/08/2005
Last updated
03/31/2021
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