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Primary Practice Address
99 UNIVERSITY PL SUITE 201
NEW YORK, NY 10003-4528 US
Accepts Medicare Payment

PECOS Enrolled

Terry Wayne Fonville

Internal Medicine Physician


Terry Wayne Fonville

Overview

Terry Wayne Fonville is a Internal Medicine Physician in the NEW YORK area and has over 56 years of experience. Terry Wayne Fonville primary office location is at 99 UNIVERSITY PL and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Illinois College Of Med (chi/peor/rock/chm-Urb) and graduated 1969 The NPI number is 1154488831 and the information was updated approximately 13 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
99 UNIVERSITY PL SUITE 201
NEW YORK, NY 10003-4528 US
Phone: (212)-222-7516
Fax:
Practice Mailing Information
99 UNIVERSITY PL
NEW YORK, NY 10003-4528 US
Phone: (212)-222-7516
Fax: (212)-529-6222
License Number State
107804 NY

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