Individual
ARMANDO FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(917) 428-9034
Mailing address
9801 67TH AVE APT 12O, REGO PARK, NY 11374-4912
(917) 428-9034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023013
NY
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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