Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Urantia Medical PC

Organization Specialist · NPI 1679847008

Urantia Medical PC provides Specialist services in Manhasset, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1295 Northern Blvd Ste 20
Manhasset, NY 11030-3035 Not confirmed with CMS for 14 years — call before visiting
Phone: (516) 365-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1818101 (NY)
Specialist Taxonomy 174400000X (NY)

Record details

NPI number1679847008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Modesto Fontanez — Principal · (516) 365-4040
NPI enumeratedMarch 2, 2012
Last updated in NPPESMarch 23, 2012
Mailing address1295 Northern Blvd, Manhasset, NY 11030-3035

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