DR. Modesto Fontanez, M.D.
NPI #1851395826 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1851395826
- Entity Type
- Individual
- Name
- DR. Modesto Fontanez, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Neurological Surgery
- Credential
- M.D.
- Enumeration Date
- Jun 8, 2005
- Last Updated
- Jan 4, 2012
Practice Location
- Address
- 2805 VETERANS MEMORIAL HWY
- Address 2
- SUITE 8
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-7647
- Phone
- (631) 738-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neurological Surgery |
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Organizations
| Provider Name | |
|---|---|
| Neurological Specialties of Long Island, Pllc |
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