Fonseca, Jose Luis

Fonseca, Jose Luis is an individual health care provider with primary practice located at 1727 Amsterdam Ave , New York NY 10031-4611. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Fonseca, Jose Luis can be contacted via phone (212) 694-9200.

Contact Information

Primary practice address
1727 Amsterdam Ave New York NY 10031-4611
Phone: (212) 694-9200
Fax: (212) 368-5608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 5688 New York

Profile Details

NPI number 1407508963
LBN Legal business name Fonseca, Jose Luis
Credentials CRPA-P
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2022
Last updated Jan 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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