Individual
MS. CAITLIN FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 W 18TH ST, NEW YORK, NY 10011-4556
(703) 674-8194
Mailing address
102 E 31ST ST APT 5A, NEW YORK, NY 10016-6885
(703) 674-8194
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F310578-01
NY
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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