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

Individual provider Medical Physician Assistant · NPI 1659291060

Vincent Fondacaro, PA-C is a Medical Physician Assistant in Poughkeepsie, New York. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3399 N Rd
Poughkeepsie, NY 12601-1350
Phone: (845) 575-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP01035300 (NJ)

Record details

NPI number1659291060
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2026
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

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