CORDELL FONTANA

Physician Assistant

Active Individual
NPI: 1417806829

Practice Address

1728 SUNRISE HWY
Merrick, NY 11566

Phone: (516) 279-3352

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1417806829 is the National Provider Identifier for CORDELL FONTANA, a Physician Assistant provider located in Merrick, NY. This NPI was enumerated on January 27, 2026.
CORDELL FONTANA practices at 1728 SUNRISE HWY, Merrick, NY 11566.

Quick Facts

NPI
1417806829
Type
Individual
Enumerated
Jan 27, 2026
Last Updated
Jan 27, 2026

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