Individual provider · Type 1 NPI

Hantz Blake Fontaine, RPA-C

Surgical Physician Assistant · New York, NY

NPI number 1801127774 Active

Practice location

1 Gustave L Levy Pl, Department Of Surgery- Mt. Sinai Medical Center
New York, NY 10029-6574

Call (917) 829-0961 Map

Mailing address

1302 Avenue K Apt 1H
Brooklyn, NY 11230-4354

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X013716 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1801127774

Hantz Blake Fontaine, RPA-C's National Provider Identifier is 1801127774, issued on Jan 16, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Jan 16, 2010.