Pedro Martin Fontanez, P.T.
Physical Therapist in Arverne, NY. Individual provider (NPI-1).
NPI number1639110901
StatusActive
Last updated in NPPESFeb 19, 2026
Details
- NPI
- 1639110901
- Entity type
- Individual (NPI-1)
- Name
- Mr. Pedro Martin Fontanez
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2006
- Certification date
- Feb 19, 2026
- Last updated
- Feb 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 0279631 | NY | Yes |
| 225100000X | Physical Therapist | 027963 | NY |
Practice location
422 Beach 64th StArverne, NY 11692-1423
Phone 646-737-4728
Mailing address
422 Beach 64th StArverne, NY 11692-1423
Phone 646-737-4728
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