Individual
DR. NANCY C. FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1500 ROUTE 112, BLDG #4, 2ND FLOOR, PORT JEFFERSON, NY 11776
(631) 928-0188
Mailing address
660 WHITE PLAINS ROAD - ENTA, FOURTH FLOOR, TARRYTOWN, NY 10591-6802
(914) 984-2552
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1649
NY
Other
Enumeration date
06/10/2008
Last updated
06/22/2021
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