Anastasia Despina Fontana in Garden City - Clinical
Anastasia Despina Fontana - NPI 1790956399
Anastasia Despina Fontana is a Clinical in Garden City, New York. Anastasia Despina Fontana practices all healthcare services and medical treatments related to Clinical. The NPI Number for Anastasia Despina Fontana is 1790956399. The last update date is 2023-10-06.
Anastasia Despina Fontana's current location address is 501 Franklin Ave Ste 140, Garden City, New York. You can contact this provider via phone number 5162675536. The mailing address for Anastasia Despina Fontana is 501 Franklin Ave Ste 140, Garden City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anastasia Despina Fontana |
|---|---|
| Address | 501 Franklin Ave Ste 140, Garden City, New York |
| Phone Number | 5162675536 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1790956399 |
|---|---|
| Provider Enumeration Date | 2008-03-21 |
| Last Updated Date | 2023-10-06 |
Provider Mailing Address Detail
| Address | 501 Franklin Ave Ste 140 |
|---|---|
| City | Garden City |
| State | New York (NY) |
| Post Code | 115305807 |
| Phone Number | 5162675536 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 83088 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique provider identifier assigned to Anastasia Despina Fontana?
The Anastasia Despina Fontana has been issued the NPI (National Provider Identifier) 1790956399 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Anastasia Despina Fontana is physically located?
The Anastasia Despina Fontana is situated at the following address: 501 Franklin Ave Ste 140, Garden City, NY 115305807.
What is the Anastasia Despina Fontana's area of specialization and corresponding taxonomy classification?
The Anastasia Despina Fontana's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1790956399 to Anastasia Despina Fontana?
The Anastasia Despina Fontana received its 1790956399 assignment from the Centers for Medicare & Medicaid Services on 2008-03-21.
When was the Anastasia Despina Fontana's information last updated?
The Anastasia Despina Fontana's information was last updated on 2023-10-06.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC