Fontanilla, Madonna

Fontanilla, Madonna is an sole proprietor health care provider with primary practice located at 275 North St , Harrison NY 10528-1524. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fontanilla, Madonna can be contacted via phone (914) 925-5211.

Contact Information

Primary practice address
275 North St Harrison NY 10528-1524
Phone: (914) 925-5211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 596069 New York

Profile Details

NPI number 1174755045
LBN Legal business name Fontanilla, Madonna
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2009
Last updated Aug 11th, 2009 - about 16 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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