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Eulalio Fontanez

Counselor, Addiction (Substance Use Disorder) in Bronx, NY. Individual provider (NPI-1).

NPI number1013209840
StatusActive
Last updated in NPPESMay 12, 2011

Details

NPI
1013209840
Entity type
Individual (NPI-1)
Name
Eulalio Fontanez
Sex
Male
Sole proprietor
No
Enumeration date
May 12, 2011
Last updated
May 12, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

3584 Jerome Ave
Bronx, NY 10467-1006

Phone 718-653-1537 · Fax 718-882-1426

Mailing address

3584 Jerome Ave
Bronx, NY 10467-1006

Phone 718-653-1537 · Fax 718-882-1426

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