Individual
SARAH FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 PULASKI RD, KINGS PARK, NY 11754-2539
(631) 455-9347
Mailing address
12 N HILL DR, EAST NORTHPORT, NY 11731-2017
(516) 263-4941
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028853-01
NY
Other
Enumeration date
02/13/2022
Last updated
02/13/2022
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