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General NPI Number Information
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NPI Number | 1891716585
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Entity Type | Individual
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Provider Name | MELINDA MONTEFORTE PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | UNIVERSITY HOSPITAL AT STONY BRK
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City | STONY BROOK
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State | NY
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Zip | 11794-0001
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Country | US
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Telephone | 631-444-3734
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Fax |
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Provider Business Mailing Address
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Address Line | 26 TIMBERCREST LN
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City | SOUTH SETAUKET
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State | NY
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Zip | 11720-1222
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Country | US
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Telephone | 631-736-7085
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 43269
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License Number State | NY
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