Kandie Fonrose

NPI #1629704937 in Floral Park, New York

Provider Information

NPI Number: 1629704937
Entity Type: Individual
Name: Kandie Fonrose
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jul 28, 2022
Last Updated: Aug 19, 2022

Practice Location

Address: 110 JERICHO TPKE STE 212
City: Floral Park
State: New York
ZIP Code: 11001-2019
Phone: (516) 263-2375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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