Individual provider · Type 1 NPI
Edward Fonseca
Adult Health Nurse Practitioner · Elmhurst, NY
NPI number
1801675400
Active
Practice location
4010 Forley St
Elmhurst, NY 11373-1427
Fax (718) 565-6999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 311410 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1801675400
Edward Fonseca's National Provider Identifier is 1801675400, issued on Sep 25, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Elmhurst, NY. The record was last updated on Jul 12, 2024.