Individual
ADRIAN PHILIP FONTANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 WILLIS AVE, MINEOLA, NY 11301-4077
(516) 741-8822
(516) 741-9351
Mailing address
990 STEWART AVE, SUITE 400, GARDEN CITY, NY 11530-4822
(516) 222-2022
(516) 222-8475
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
140740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00500674
—
NY
01
—
200005301
RAILROAD MEDICARE
NY
Enumeration date
09/01/2005
Last updated
09/13/2012
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