Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jose Luis Fonseca, CRPA-P

Individual provider Peer Specialist · NPI 1407508963

Jose Luis Fonseca, CRPA-P is a Peer Specialist in New York, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

1727 Amsterdam Ave
New York, NY 10031-4611
Phone: (212) 694-9200
Fax: (212) 368-5608
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 5688 (NY)

Record details

NPI number1407508963
Entity typeIndividual (Type 1)
GenderMale
Credentials CRPA-P
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022

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