Fountaine, Thomas J
Fountaine, Thomas J is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-3001. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Fountaine, Thomas J can be contacted via phone (585) 275-5863.Contact Information
Primary practice address
601 Elmwood Ave
Rochester NY 14642-3001
Phone: (585) 275-5863
Fax: (585) 273-5761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 264068 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 264068 | New York |
Profile Details
| NPI number | 1306160106 |
|---|---|
| LBN Legal business name | Fountaine, Thomas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2010 |
| Last updated | Jul 21st, 2022 - about 4 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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