Organization
FONTANETTA NEUROPSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA A FONTANETTA PSYD (CLINICAL NEUROPSYCHOLOGIST)
(631) 766-7969
Entity
Organization
Contact information
Practice address
755 NEW YORK AVE STE 230, HUNTINGTON, NY 11743-4285
(631) 505-3671
Mailing address
755 NEW YORK AVE STE 230, HUNTINGTON, NY 11743-4285
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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