Individual
FREDERICK G TONTARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
32787 US RT 11, PHILADELPHIA, NY 13673
(315) 642-0026
(315) 642-1028
Mailing address
PO BOX 857, BLACK RIVER, NY 13612-0857
(315) 773-8852
(315) 773-4014
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003616
NY
Other
Enumeration date
06/22/2005
Last updated
12/31/2013
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