Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK FUENTES
Active Sole ProprietorJACK FUENTES is a Early Intervention Provider Agency healthcare provider located in NEW CITY, New York. NPI 1689556664 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · NEW CITY, NY
Registration Details
- NPI Number
- 1689556664
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2025 (1.1063735118655 yrs)
- Last Updated
- Jul 22, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
12 LOCHNESS LN PHNEW CITY, NY, 109561515Browse NY providers · Browse ZIP 10956
- Phone
- 9176458998
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in NEW CITY, NY
| Name | Credential | NPI |
|---|---|---|
| DEBRA ROTHSTEIN | M.S. | 1205074358 |
| KIMBERLY C SUTHERLAND | — | 1962763920 |
| MRS. DENISE BRENDA GOLDSCHMIDT | — | 1124382064 |
| MS. STEFANIE ANNE AZZONE | MSED | 1285989921 |
| THERESA GARIGLIANO | M.S. E.D. | 1003222662 |
| DANA MEDOFF | OTR/L | 1437680386 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.