JOSE M FONSECA CASAC NPI 1003560947

NPI Information

NPI: 1003560947
Provider Name: JOSE M FONSECA, CASAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1776 CLAY AVE
BRONX, NY
ZIP 10457
Phone: (718) 960-7599
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Jose M Fonseca, CASAC is an addiction (substance use disorder) counselor in Bronx, NY. Jose M Fonseca, CASAC NPI is 1003560947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1776 CLAY AVE
BRONX, NY
ZIP 10457-299
Phone: (718) 960-7599

The enumeration date for this NPI number is 2/9/2022 and was last updated on 2/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	20930	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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