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DR. LUZ S FONACIER M.D.

Allergy and Immunology

Mineola, New York

Provider NPI: 1679554505

Provider Information:
DR. LUZ S FONACIER M.D.


Practice Location:
120 MINEOLA BLVD SUITE 410 MINEOLA, NY 11501 US
Tel: 516-663-4751  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
NYNYS164053

Other Provider Identifiers:

IssuerNumberStateType
01207652NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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