Healthcare Provider Details

I. General information

NPI: 1861554925
Provider Name (Legal Business Name): JOSEPH J. MONTANO ED.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 YORK AVE WEILL CORNELL MEDICAL CENTER DEP'T OF ENT
NEW YORK NY
10021
US

IV. Provider business mailing address

4712 190TH ST
FLUSHING NY
11358-3831
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-5888
  • Fax:
Mailing address:
  • Phone: 718-357-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number000372
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: