Mr. Hantz Blake Fontaine, RPA-C
Mr. Hantz Blake Fontaine, RPA-C is a Physician Assistant in New York, New York. Qualified in 2009, 17 years ago. Practices with Rutgers Health-Rwj Neurosurgery Faculty, a 192-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 17
- Licensed in
- NY
- In the registry since
- 2010
Practice location Address checks out
1 Gustave L Levy Pl Dept OF Surgery- MT Sinai Medical CenterNew York, NY 10029-6574
Phone: (917) 829-0961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 013716 (NY) |
|---|
Record details
| NPI number | 1801127774 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RPA-C |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2010 |
| Last updated in NPPES | January 16, 2010 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Rutgers Health-Rwj Neurosurgery Faculty — 192 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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