Most Relevant Information
Provider Data
| NPI Number: | 1003201344 |
| Provider Name: | FONTAE WASHINGTON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2015 |
| Last Updated: | 04/03/2015 |
Provider Practice Location
601 W 26TH ST RM 522
NEW YORK
NY
100011137
Practice Location Phone/Fax
| Phone: | 2122685999 |
| Fax: |
Provider Mailing Location
601 W 26TH ST RM 522
NEW YORK
NY
100011137
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |