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NPI Code Detail

MEDICARE: MR. KEVIN MONTIEL LMSW

MEDICARE: MR. KEVIN MONTIEL LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker112820NY

General Provider Information

NPI Number : 1033724711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN MONTIEL LMSW
Provider Business Mailing Address
First Line : 175 E 94TH ST APT 1
Second Line :
City : NEW YORK
State : NY
Zip : 10128-2905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 175 E 94TH ST APT 1
Second Line :
City : NEW YORK
State : NY
Zip : 10128-2905
Country : US
Telephone Number : 929-265-2949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2020
Last Update Date : 07/18/2022

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Directions to “ MR. KEVIN MONTIEL LMSW” Practice Location

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