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
ZIP Code
11779-7647
Phone
(631) 738-8300

Specialties & Taxonomy Codes

Specialty
Neurological Surgery

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