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General NPI Number Information
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NPI Number | 1033748678
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Entity Type | Individual
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Provider Name | GIACOMO MONTAGNA MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 300 E 66TH ST EVELYN LAUDER BREAST & IMAGING CENTER
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City | NEW YORK
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State | NY
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Zip | 10065-6800
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Country | US
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Telephone | 646-888-6892
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Fax | 646-888-4920
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Provider Business Mailing Address
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Address Line | EVELYN LAUDER BREAST & IMAGING CENTER 300 EAST 66TH STREET
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 646-888-6892
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 312739
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 25MA11395100
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License Number State | NJ
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