NPI 1114475308

Jean H Monfort

Practitioner Radiologic Technologist Bronx, NY

Practice location

Address: 1065 Southern Blvd, Bronx, NY 10459-2417
Phone: (917) 353-1257

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 653696 (NY)

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Registry record

NPI: 1114475308
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2016
Record last updated: 15 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.