Jose M Fonseca
Addiction Counselor (Substance Use Disorder)
1776 Clay Ave
Bronx
, New York 10457-7299
Jose M Fonseca
Addiction Counselor (Substance Use Disorder)
1776 Clay Ave
Bronx
, New York 10457-7299
(718) 960-7568
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Jose M Fonseca
- 311 E 175th St
- Bronx, NY
- Zip : 10457-5848
- Phone : (718) 960-7568
Second Address
- Jose M Fonseca
- 1776 Clay Ave
- Bronx, NY
- Zip : 10457-7299
- Phone : (718) 960-7599
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 20930 | NY |
National Provider Identifier
| NPI | 1003560947 |
|---|---|
| Provider Name | Jose M Fonseca |
| First Address | Bronx, NY 10457-5848 |
| Second Address | Bronx, NY 10457-7299 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2022 |
| Last Update Date | 09/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.