Healthcare Provider Details

I. General information

NPI: 1730621293
Provider Name (Legal Business Name): NATALIE R. MONTI CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2016
Last Update Date: 03/03/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 BROADWAY # 517
NEW YORK NY
10032-1559
US

IV. Provider business mailing address

3959 BROADWAY # 517
NEW YORK NY
10032-1559
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-9862
  • Fax:
Mailing address:
  • Phone: 212-305-9862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number431076
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: