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NPI 1386636389

NPI 1386636389 : DAVID P MONTESANTI MD : BUFFALO, NY

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General NPI Number Information
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    NPI Number           |    1386636389
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID P MONTESANTI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/17/2005
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    Last Update Date     |    11/02/2016
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Provider Practice Location Address
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    Address Line         |    932 ELMWOOD AVE 
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14222-1212
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    Country              |    US
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    Telephone            |    716-884-0880
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    Fax                  |    716-884-0811
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Provider Business Mailing Address
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    Address Line         |    811 MAPLE RD 
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    City                 |    WILLIAMSVILLE
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    State                |    NY
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    Zip                  |    14221-3260
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    Country              |    US
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    Telephone            |    716-631-8888
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    Fax                  |    716-631-3803
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    215803
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    License Number State |    NY
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