MEDICARE: ANDREW SANTOS FONTES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	321656	NY

General Provider Information

NPI Number	:	1295361236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW SANTOS FONTES

Provider Business Mailing Address
First Line	:	185 ROUTE 312 STE 303
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509-2338
Country	:	US
Telephone Number	:	845-278-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 ROUTE 312 STE 303
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509-2338
Country	:	US
Telephone Number	:	845-278-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2020
Last Update Date	:	05/11/2026

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Directions to “ ANDREW SANTOS FONTES ” Practice Location

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