Individual
PAUL F FONDACARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
150421
NY
208D00000X
General Practice Physician
150421
NY
Other
Enumeration date
07/28/2006
Last updated
09/11/2025
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