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Andrew Fountain

Case Manager/Care Coordinator in Batavia, NY. Individual provider (NPI-1).

NPI number1982189965
StatusActive
Last updated in NPPESSep 26, 2018

Details

NPI
1982189965
Entity type
Individual (NPI-1)
Name
Andrew Fountain
Sex
Male
Sole proprietor
No
Enumeration date
Sep 26, 2018
Last updated
Sep 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

5130 E Main St
Batavia, NY 14020-3444

Phone 585-344-1421

Mailing address

5130 E Main St
Batavia, NY 14020-3444

Phone 585-344-1421

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