Healthcare Provider Details

I. General information

NPI: 1285149468
Provider Name (Legal Business Name): DANIELLE MARIE MONTANTE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2017
Last Update Date: 12/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 MEIGS ST
ROCHESTER NY
14607-2408
US

IV. Provider business mailing address

176 MEIGS ST
ROCHESTER NY
14607-2408
US

V. Phone/Fax

Practice location:
  • Phone: 585-406-0436
  • Fax:
Mailing address:
  • Phone: 585-406-0436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number657956-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: