National Provider Identifier Database

MODESTO FONTANEZ, MD – NPI #1851395826
Neurological Surgery

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.


Contact Information

MODESTO FONTANEZ, MD
2805 VETERANS MEMORIAL HWY
SUITE 8
RONKONKOMA, NY11779-7647
Phone: 631-738-8300
Fax: 631-738-8500
Website:
Specialty Taxonomy Code
* Neurological Surgery 207T00000X

* Indicates primary specialty

NPI Profile & details for MODESTO FONTANEZ

NPI Number 1851395826
Credentials MD
Entity Individual
Enumeration date 06/08/2005
Last updated 01/04/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 181810-4
  • OH License #: 35083857
  • OH Medicaid: 2463258
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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