Anastasia Despina Fontana LMSW

NPI 1790956399 - Social Worker - 104100000X

NPI Details
NPI 1790956399
Gender Female
Enumeration Date 03/21/2008
Last Updated 03/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
BROOKLYN NY, 11226-5426, US
Phone (718) 282-2504
Fax (718) 282-1984
Business Location
2449 85TH ST
BROOKLYN NY, 11214-3503, US
Phone (718) 266-4591
Taxonomy Code 104100000X
License State New York
License Number 057504
Remove 1790956399 NPI Number

According to our database, Mrs. Anastasia Despina Fontana LMSW NPI is 1790956399, taxonomy code is 104100000X and license number is 057504, license state is located at New York. Anastasia Despina Fontana LMSW physically located at 19 Duryea Pl, Brooklyn NY, 11226-5426. NPI Number Anastasia Despina Fontana LMSW has the Individual type.

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1790956399 NPI number is provided on an as is basis without warranty of any kind. 1790956399 is maintained by the National Plan & Provider Enumeration System. The contents of Anastasia Despina Fontana LMSW are for informational purposes only.