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Individual

MS. ANN M FONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
22571 SUMMIT DR, WATERTOWN, NY 13601-7233
(315) 782-0136
(315) 782-7212
Mailing address
22571 SUMMIT DR, WATERTOWN, NY 13601-7233
(315) 782-0136

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
335331
NY
363LF0000X
Family Nurse Practitioner
F3353311
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02960263
NY
Enumeration date
08/07/2007
Last updated
06/23/2014
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