MEDICARE: ANTONY MONTERO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	P119278	NY

General Provider Information

NPI Number	:	1740092931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONY MONTERO

Provider Business Mailing Address
First Line	:	1102 LONGFELLOW AVE APT 4T
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-2667
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1102 LONGFELLOW AVE APT 4T
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-2667
Country	:	US
Telephone Number	:	347-717-6256
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	03/15/2026

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Directions to “ ANTONY MONTERO ” Practice Location

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