Organization
CANDIDO FUENTES-FELIX MD FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDIDO E FUENTES (PROVIDER)
(631) 385-9377
Entity
Organization
Contact information
Practice address
120 NEW YORK AVE STE 1W, HUNTINGTON, NY 11743-2743
(631) 385-9377
(631) 385-4372
Mailing address
120 NEW YORK AVE STE 1W, HUNTINGTON, NY 11743-2743
(631) 385-9377
(631) 385-4372
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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