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NPI Code Detail

MEDICARE: DR. MARK ANTHONY MONTERA MD

MEDICARE: DR. MARK ANTHONY MONTERA MD
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
1207Q00000XFamily Medicine Physician169085-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508820689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ANTHONY MONTERA MD
Provider Business Mailing Address
First Line : 110 S BEDFORD RD
Second Line : CAREMOUNT MEDICAL PC
City : MOUNT KISCO
State : NY
Zip : 10549-3446
Country : US
Telephone Number : 914-241-1050
Fax Number : 914-242-1516
Provider Business Practice Location Address
First Line : 1561 RTE 9W
Second Line :
City : LAKE KATRINE
State : NY
Zip : 12449-5410
Country : US
Telephone Number : 845-231-5600
Fax Number : 845-202-6005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 11/18/2016

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