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General NPI Number Information
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NPI Number | 1821139015
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Entity Type | Individual
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Provider Name | ENRIQUE H MONSANTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 263 7TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-3689
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Country | US
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Telephone | 718-771-1765
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1610
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-0301
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Country | US
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Telephone | 718-771-1765
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 141104-1
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License Number State | NY
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