NPI 1235744012

Michael Montanez

Practitioner Prevention Professional New York, NY

Practice location

Address: 101 W 123rd St, New York, NY 10027-5511
Phone: (212) 662-5536
Mailing address: 1309 5th Ave APT 25e, New York, NY 10029-3127

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence T155768 (NY)

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Registry record

NPI: 1235744012
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2020
Record last updated: 9 Sep 2020

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.