Most Relevant Information
Provider Data
| NPI Number: | 1003573460 |
| Provider Name: | FABIOLA ZOXIE FONTAINE |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 030834 |
Most Important Dates
| Enumeration Date: | 11/19/2021 |
| Last Updated: | 11/16/2023 |
Provider Practice Location
647 ALBANY AVE APT 6P
BROOKLYN
NY
112031767
Practice Location Phone/Fax
| Phone: | 3473037307 |
| Fax: |
Provider Mailing Location
647 ALBANY AVE APT 6P
BROOKLYN
NY
112031767
Provider Mailing Phone/Fax
| Phone: | 3473037307 |
| Fax: |