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Canonical ID: NK-5NGoFvYS9XN7hDgTK2CUn2 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 2805 VETERANS MEMORIAL HWY, SUITE 8, RONKONKOMA, NY 117797647 | ext_us_cms_npi | us-npi-1851395826 | ||||
LegalEntity:address | 1838 2ND AVENUE, NEW YORK, NY 10128 | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
LegalEntity:addressEntity | addr-1b40ca2573a5fc1df20a0044c1a1bda48dbc7fc1 | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | ||||
LegalEntity:country | us | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | ||||
Person:country | us | ext_us_cms_npi | us-npi-1851395826 | ||||
Person:firstName | MODESTO | ext_us_cms_npi | us-npi-1851395826 | ||||
LegalEntity:id | e12ca538a28484d765a0600f90d74f5dc32343c1 | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | ||||
Person:id | a3f8546bf86459989512df7594538a53ee5011e9 | ext_us_cms_npi | us-npi-1851395826 | ||||
Person:lastName | FONTANEZ | ext_us_cms_npi | us-npi-1851395826 | ||||
Person:name | MODESTO FONTANEZ | ext_us_cms_npi | us-npi-1851395826 | ||||
LegalEntity:name | FONTANEZ, MODESTO | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
Person:npiCode | 1851395826 | ext_us_cms_npi | us-npi-1851395826 | ||||
LegalEntity:npiCode | 1851395826 | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
LegalEntity:sector | MD | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
Person:title | DR. | ext_us_cms_npi | us-npi-1851395826 | ||||
LegalEntity:topics | debarment | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | ||||