Healthcare Provider Details

I. General information

NPI: 1487736187
Provider Name (Legal Business Name): NATHAN MONHIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 05/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 NORTHERN BLVD STE 302
GREAT NECK NY
11021-5316
US

IV. Provider business mailing address

935 NORTHERN BLVD STE 302
GREAT NECK NY
11021-5316
US

V. Phone/Fax

Practice location:
  • Phone: 516-466-4066
  • Fax: 516-466-4069
Mailing address:
  • Phone: 516-466-4066
  • Fax: 516-466-4069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number224260
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: