Search › New York › 363L00000X
Gweneth Fontanilla
NPI 1073421814 · on the registry since 2026 · sole proprietor
Practice
- Address
- 6741 Burns St Apt 105
Forest Hills, NY 11375 - Phone
- (404) 717-3062
- Organisation at this address
- Dr. Manasherov Medical P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York